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action="https://submit.jotform.com/submit/243174112952149" method="post" name="form_243174112952149" id="243174112952149" accept-charset="utf-8" autocomplete="on"><input type="hidden" name="formID" value="243174112952149" /><input type="hidden" id="JWTContainer" value="" /><input type="hidden" id="cardinalOrderNumber" value="" /><input type="hidden" id="jsExecutionTracker" name="jsExecutionTracker" value="build-date-1732990330698" /><input type="hidden" id="submitSource" name="submitSource" value="unknown" /><input type="hidden" id="buildDate" name="buildDate" value="1732990330698" /><input type="hidden" name="uploadServerUrl" value="https://upload.jotform.com/upload" /><input type="hidden" name="eventObserver" value="1" /> <div id="formCoverLogo" style="margin-bottom:32px" class="form-cover-wrapper form-has-cover form-page-cover-image-align-center"> <div class="form-page-cover-image-wrapper" style="max-width:752px"><img src="https://www.jotform.com/uploads/avanorden/form_files/mtt%20header%20(3).660d77f8e00c03.12082818.png" class="form-page-cover-image" width="560" height="140" aria-label="Form Logo" style="aspect-ratio:560/140" /></div> </div> <div role="main" class="form-all"> <ul class="form-section page-section" role="presentation"> <li class="form-line form-line-column form-col-1 always-hidden" data-type="control_textbox" id="id_37"><label class="form-label form-label-top" id="label_37" for="input_37" aria-hidden="false"> Concur Approval Code </label> <div id="cid_37" class="form-input-wide always-hidden" data-layout="half"> <input type="text" id="input_37" name="q37_ConcurApprovalCode" data-type="input-textbox" class="form-textbox" data-defaultvalue="" style="width:310px" size="310" data-component="textbox" aria-labelledby="label_37" value="" /> </div> </li> <li id="cid_1" class="form-input-wide" data-type="control_head"> <div class="form-header-group header-large"> <div class="header-text httal htvam"> <h1 id="header_1" class="form-header" data-component="header">IEEE MTT-S MGA Committee Travel Support</h1> </div> </div> </li> <li class="form-line" data-type="control_text" id="id_3"> <div id="cid_3" class="form-input-wide" data-layout="full"> <div id="text_3" class="form-html" data-component="text" tabindex="-1"> <p>The form is provided for select MTT-S MGA Committee Members and Regional Coordinators who seek travel support to attend an MGA Committee meeting in conjunction with the AdCom meeting series or perform other official MTT-S MGA business.</p> </div> </div> </li> <li id="cid_4" class="form-input-wide" data-type="control_head"> <div class="form-header-group header-default"> <div class="header-text httal htvam"> <h2 id="header_4" class="form-header" data-component="header">PRE-TRAVEL APPROVAL REQUEST</h2> </div> </div> </li> <li class="form-line jf-required" data-type="control_radio" id="id_29"><label class="form-label form-label-top form-label-auto" id="label_29" aria-hidden="false"> Requested MGA Meeting<span class="form-required">*</span> </label> <div id="cid_29" class="form-input-wide jf-required" data-layout="full"> <div class="form-single-column" role="group" aria-labelledby="label_29" data-component="radio"><span class="form-radio-item" style="clear:left"><span class="dragger-item"></span><input aria-describedby="label_29" type="radio" class="form-radio validate[required]" id="input_29_0" name="q29_requestedMga" required="" value="2025 January 18th – AM1 MGA Committee Meeting in San Juan, Puerto Rico" /><label id="label_input_29_0" for="input_29_0">2025 January 18th – AM1 MGA Committee Meeting in San Juan, Puerto Rico</label></span><span class="form-radio-item" style="clear:left"><span class="dragger-item"></span><input aria-describedby="label_29" type="radio" class="form-radio validate[required]" id="input_29_1" name="q29_requestedMga" required="" value="2025 June 14th – AM2 MGA Committee Meeting in San Francisco, CA" /><label id="label_input_29_1" for="input_29_1">2025 June 14th – AM2 MGA Committee Meeting in San Francisco, CA</label></span><span class="form-radio-item formRadioOther" style="clear:left"><input type="radio" class="form-radio-other form-radio validate[required]" name="q29_requestedMga" id="other_29" tabindex="0" aria-label="Other Event" value="other" /><label id="label_other_29" style="text-indent:0" for="other_29">Other Event</label><span id="other_29_input" class="other-input-container" style="display:none"><input type="text" class="form-radio-other-input form-textbox" name="q29_requestedMga[other]" data-otherhint="Other Event" size="15" id="input_29" data-placeholder="Please type another option here" placeholder="Please type another option here" /></span></span></div> </div> </li> <li class="form-line jf-required" data-type="control_textarea" id="id_30"><label class="form-label form-label-top form-label-auto" id="label_30" for="input_30" aria-hidden="false"> How will you support this meeting or event?<span class="form-required">*</span> </label> <div id="cid_30" class="form-input-wide jf-required" data-layout="full"> <textarea id="input_30" class="form-textarea validate[required]" name="q30_howWill" style="width:648px;height:163px" data-component="textarea" required="" aria-labelledby="label_30"></textarea> </div> </li> <li class="form-line form-line-column form-col-1 jf-required" data-type="control_datetime" id="id_31"><label class="form-label form-label-top form-label-auto" id="label_31" for="lite_mode_31" aria-hidden="false"> Travel Start Date:<span class="form-required">*</span> </label> <div id="cid_31" class="form-input-wide jf-required" data-layout="half"> <div data-wrapper-react="true"> <div style="display:none"><span class="form-sub-label-container" style="vertical-align:top"><input class="form-textbox validate[required, limitDate]" id="month_31" name="q31_travelStart[month]" type="tel" size="2" data-maxlength="2" data-age="" maxLength="2" required="" autoComplete="off" aria-labelledby="label_31 sublabel_31_month" value="" /><span class="date-separate" aria-hidden="true"> -</span><label class="form-sub-label" for="month_31" id="sublabel_31_month" style="min-height:13px">Month</label></span><span class="form-sub-label-container" style="vertical-align:top"><input class="form-textbox validate[required, limitDate]" id="day_31" name="q31_travelStart[day]" type="tel" size="2" data-maxlength="2" data-age="" maxLength="2" required="" autoComplete="off" aria-labelledby="label_31 sublabel_31_day" value="" /><span class="date-separate" aria-hidden="true"> -</span><label class="form-sub-label" for="day_31" id="sublabel_31_day" style="min-height:13px">Day</label></span><span class="form-sub-label-container" style="vertical-align:top"><input class="form-textbox validate[required, limitDate]" id="year_31" name="q31_travelStart[year]" type="tel" size="4" data-maxlength="4" data-age="" maxLength="4" required="" autoComplete="off" aria-labelledby="label_31 sublabel_31_year" value="" /><label class="form-sub-label" for="year_31" id="sublabel_31_year" style="min-height:13px">Year</label></span></div><span class="form-sub-label-container" style="vertical-align:top"><input class="form-textbox validate[required, limitDate, validateLiteDate]" id="lite_mode_31" type="text" size="12" data-maxlength="12" maxLength="12" data-age="" required="" data-format="mmddyyyy" data-seperator="-" placeholder="MM-DD-YYYY" data-placeholder="MM-DD-YYYY" autoComplete="off" aria-labelledby="label_31 sublabel_31_litemode" value="" /><button type="button" class=" newDefaultTheme-dateIcon focusable icon-liteMode" id="input_31_pick" data-component="datetime" aria-hidden="true" data-allow-time="No" data-version="v2"></button><label class="form-sub-label" for="lite_mode_31" id="sublabel_31_litemode" style="min-height:13px">Date</label></span> </div> </div> </li> <li class="form-line form-line-column form-col-2 jf-required" data-type="control_datetime" id="id_32"><label class="form-label form-label-top form-label-auto" id="label_32" for="lite_mode_32" aria-hidden="false"> Travel End Date:<span class="form-required">*</span> </label> <div id="cid_32" class="form-input-wide jf-required" data-layout="half"> <div data-wrapper-react="true"> <div style="display:none"><span class="form-sub-label-container" style="vertical-align:top"><input class="form-textbox validate[required, limitDate]" id="month_32" name="q32_travelEnd[month]" type="tel" size="2" data-maxlength="2" data-age="" maxLength="2" required="" autoComplete="off" aria-labelledby="label_32 sublabel_32_month" value="" /><span class="date-separate" aria-hidden="true"> -</span><label class="form-sub-label" for="month_32" id="sublabel_32_month" style="min-height:13px">Month</label></span><span class="form-sub-label-container" style="vertical-align:top"><input class="form-textbox validate[required, limitDate]" id="day_32" name="q32_travelEnd[day]" type="tel" size="2" data-maxlength="2" data-age="" maxLength="2" required="" autoComplete="off" aria-labelledby="label_32 sublabel_32_day" value="" /><span class="date-separate" aria-hidden="true"> -</span><label class="form-sub-label" for="day_32" id="sublabel_32_day" style="min-height:13px">Day</label></span><span class="form-sub-label-container" style="vertical-align:top"><input class="form-textbox validate[required, limitDate]" id="year_32" name="q32_travelEnd[year]" type="tel" size="4" data-maxlength="4" data-age="" maxLength="4" required="" autoComplete="off" aria-labelledby="label_32 sublabel_32_year" value="" /><label class="form-sub-label" for="year_32" id="sublabel_32_year" style="min-height:13px">Year</label></span></div><span class="form-sub-label-container" style="vertical-align:top"><input class="form-textbox validate[required, limitDate, validateLiteDate]" id="lite_mode_32" type="text" size="12" data-maxlength="12" maxLength="12" data-age="" required="" data-format="mmddyyyy" data-seperator="-" placeholder="MM-DD-YYYY" data-placeholder="MM-DD-YYYY" autoComplete="off" aria-labelledby="label_32 sublabel_32_litemode" value="" /><button type="button" class=" newDefaultTheme-dateIcon focusable icon-liteMode" id="input_32_pick" data-component="datetime" aria-hidden="true" data-allow-time="No" data-version="v2"></button><label class="form-sub-label" for="lite_mode_32" id="sublabel_32_litemode" style="min-height:13px">Date</label></span> </div> </div> </li> <li class="form-line jf-required" data-type="control_textarea" id="id_33"><label class="form-label form-label-top form-label-auto" id="label_33" for="input_33" aria-hidden="false"> Itemized Estimate of Travel Cost:<span class="form-required">*</span> </label> <div id="cid_33" class="form-input-wide jf-required" data-layout="full"> <span class="form-sub-label-container" style="vertical-align:top"><textarea id="input_33" class="form-textarea validate[required]" name="q33_itemizedEstimate33" style="width:648px;height:163px" data-component="textarea" required="" aria-labelledby="label_33 sublabel_input_33"></textarea><label class="form-sub-label" for="input_33" id="sublabel_input_33" style="min-height:13px">Provide a detailed list of all cost items.</label></span> </div> </li> <li id="cid_16" class="form-input-wide" data-type="control_head"> <div class="form-header-group header-default"> <div class="header-text httal htvam"> <h2 id="header_16" class="form-header" data-component="header">BANKING INFORMATION</h2> </div> </div> </li> <li class="form-line form-line-column form-col-1 jf-required" data-type="control_number" id="id_34"><label class="form-label form-label-top form-label-auto" id="label_34" for="input_34" aria-hidden="false"> Amount Requested in USD:<span class="form-required">*</span> </label> <div id="cid_34" class="form-input-wide jf-required" data-layout="half"> <input type="number" id="input_34" name="q34_amountRequested" data-type="input-number" class=" form-number-input form-textbox validate[required]" data-defaultvalue="" style="width:310px" size="310" placeholder="e.g., 500" data-component="number" aria-labelledby="label_34" required="" step="any" value="" /> </div> </li> <li class="form-line form-line-column form-col-2 always-hidden" data-type="control_number" id="id_18"><label class="form-label form-label-top form-label-auto" id="label_18" for="input_18" aria-hidden="false"> Amount Approved in USD: </label> <div id="cid_18" class="form-input-wide always-hidden" data-layout="half"> <input type="number" id="input_18" name="q18_amountApproved" data-type="input-number" class=" form-number-input form-textbox" data-defaultvalue="" style="width:310px" size="310" placeholder="e.g., 500" data-component="number" aria-labelledby="label_18" step="any" value="" /> </div> </li> <li class="form-line" data-type="control_text" id="id_19"> <div id="cid_19" class="form-input-wide" data-layout="full"> <div id="text_19" class="form-html" data-component="text" tabindex="-1"> <p><strong>Funding Type: Concur Reimbursement of Travel</strong></p> <p>Travel cost will be reimbursed to the bank account of the individual recipient entered below. The following rules apply: </p> <ul style="list-style-type: disc;"> <li>Reimbursement needs to be performed via <a href="https://corporate.ieee.org/resources/travel-medical-and-insurance/ieee-expense-report" target="_blank" rel="nofollow">Concur</a> be in accordance with current <a href="https://www.ieee.org/content/dam/ieee-org/ieee/web/org/travel-expense-reimbursement-guidelines.pdf" target="_blank" rel="nofollow">Expense Reimbursement Guidelines</a> for IEEE volunteers (check for updates). </li> <li>Your<strong> approval code</strong> has to be entered<strong> as the name of your Concur report.</strong></li> <li>The <strong>Concur Expense Report Purpose</strong> is: Technical Activities Societies – Microwave Theory & Technique – <strong>MGA committee member travel</strong> – XMGAX</li> <li>Travel expenses must be submitted within 60 days of travel or the date of the event.</li> </ul> <p>Travelers are reminded that the reimbursement process typically takes about 6 to 8 weeks after filing a complete reimbursement request. Loans might be granted by your local chapter. </p> </div> </div> </li> <li class="form-line form-line-column form-col-1 jf-required" data-type="control_textbox" id="id_20"><label class="form-label form-label-top form-label-auto" id="label_20" for="input_20" aria-hidden="false"> Recipient Full Name:<span class="form-required">*</span> </label> <div id="cid_20" class="form-input-wide jf-required" data-layout="half"> <input type="text" id="input_20" name="q20_recipientFull" data-type="input-textbox" class="form-textbox validate[required]" data-defaultvalue="" style="width:310px" size="310" data-component="textbox" aria-labelledby="label_20" required="" value="" /> </div> </li> <li class="form-line form-line-column form-col-2 jf-required" data-type="control_email" id="id_21"><label class="form-label form-label-top form-label-auto" id="label_21" for="input_21" aria-hidden="false"> Recipient Email Address:<span class="form-required">*</span> </label> <div id="cid_21" class="form-input-wide jf-required" data-layout="half"> <span class="form-sub-label-container" style="vertical-align:top"><input type="email" id="input_21" name="q21_recipientEmail" class="form-textbox validate[required, Email]" data-defaultvalue="" autoComplete="section-input_21 email" style="width:310px" size="310" data-component="email" aria-labelledby="label_21 sublabel_input_21" required="" value="" /><label class="form-sub-label" for="input_21" id="sublabel_input_21" style="min-height:13px">example@example.com</label></span> </div> </li> <li class="form-line fixed-width jf-required" data-type="control_textbox" id="id_22"><label class="form-label form-label-top form-label-auto" id="label_22" for="input_22" aria-hidden="false"> Recipient Committee Position<span class="form-required">*</span> </label> <div id="cid_22" class="form-input-wide jf-required" data-layout="half"> <span class="form-sub-label-container" style="vertical-align:top"><input type="text" id="input_22" name="q22_recipientCommittee" data-type="input-textbox" class="form-textbox validate[required]" data-defaultvalue="" style="width:648px" size="648" data-component="textbox" aria-labelledby="label_22 sublabel_input_22" required="" value="" /><label class="form-sub-label" for="input_22" id="sublabel_input_22" style="min-height:13px">Official Position held in the MGA Committee</label></span> </div> </li> <li class="form-line jf-required" data-type="control_checkbox" id="id_26"><label class="form-label form-label-top form-label-auto" id="label_26" for="input_26_0" aria-hidden="true"> <span class="form-required">*</span> </label> <div id="cid_26" class="form-input-wide jf-required" data-layout="full"> <div class="form-single-column" role="group" aria-labelledby="label_26" data-component="checkbox"><span class="form-checkbox-item" style="clear:left"><span class="dragger-item"></span><input aria-describedby="label_26" type="checkbox" class="form-checkbox validate[required]" id="input_26_0" name="q26_input26[]" required="" value="I agree to the IEEE Privacy Policy. https://www.ieee.org/security-privacy.html" /><label id="label_input_26_0" for="input_26_0">I agree to the IEEE Privacy Policy. https://www.ieee.org/security-privacy.html</label></span></div> </div> </li> <li class="form-line" data-type="control_text" id="id_28"> <div id="cid_28" class="form-input-wide" data-layout="full"> <div id="text_28" class="form-html" data-component="text" tabindex="-1"> <p style="text-align: center;">For questions/issues concerning this form, please email <a href="mailto: a.vanorden@ieee.org" target="_blank" rel="nofollow">a.vanorden@ieee.org</a></p> </div> </div> </li> <li class="form-line" data-type="control_button" id="id_2"> <div id="cid_2" class="form-input-wide" data-layout="full"> <div data-align="auto" class="form-buttons-wrapper form-buttons-auto jsTest-button-wrapperField"><button id="input_2" type="submit" class="form-submit-button submit-button jf-form-buttons jsTest-submitField legacy-submit" data-component="button" data-content="">Submit</button></div> </div> </li> <li style="clear:both"></li> <li style="display:none">Should be Empty: <input type="text" name="website" value="" type="hidden" /></li> </ul> </div> <script> JotForm.showJotFormPowered = "old_footer"; </script> <script> JotForm.poweredByText = "Powered by Jotform"; </script><input type="hidden" class="simple_spc" id="simple_spc" name="simple_spc" value="243174112952149" /> <script type="text/javascript"> var all_spc = document.querySelectorAll("form[id='243174112952149'] .si" + "mple" + "_spc"); for (var i = 0; i < all_spc.length; i++) { all_spc[i].value = "243174112952149-243174112952149"; } </script><input type="hidden" id="input_35" name="q35_uniqueId" class="form-textbox form-hidden" data-defaultvalue="MGA-0019" data-component="autoincrement" aria-labelledby="label_35" value="MGA-0019" /> </form></body> </html><script type="text/javascript">JotForm.isNewSACL=true;</script>