Forms for CDC Sponsors and Mentors

Selection Form

Form submitted by sponsor to select participant.

• Selection Form (PDF)

Application

Form submitted by potential participant to apply to the ORISE Research Participation Programs at the CDC.

• Application (PDF)

Electronic Fund Transfers (EFT)

Form submitted by the participant that authorizes direct deposit of stipend, travel reimbursement, and other program-related payments:

• Authorization Agreement for EFT PDF)

Request for Payment

Form to request reimbursement of registration fees, tuition, books, or other miscellaneous (non travel-related) costs.

• Request for Payment (MS-Word)

Travel

Pre-travel forms:

• Travel Authorization/Reservation (TAR) – Form must be approved and submitted prior to official program travel.

Additional pre-travel forms for international travel:

• Request for Approval of Foreign Travel (RAFT) - Single Itinerary – Form required for all foreign travel (MS-Word)
• Request for Approval of Foreign Travel (RAFT) - Multiple Itineraries – Form required for all foreign travel (MS-Word)

Post-travel forms:

• Travel Expense Statement (TES) – Form used for reimbursement of expenses for official program travel.

Additional non-routine forms you may need when traveling:

• Private Vehicle Mileage and Parking (MS-Word) - Form requests reimbursement for private vehicle mileage and parking.
• Request for Payment (MS-Word) - Form requests payment or reimbursement for conference membership fees.