{"id":7093,"date":"2013-09-30T10:22:54","date_gmt":"2013-09-30T14:22:54","guid":{"rendered":"https:\/\/www.bates.edu\/dof\/?page_id=7093"},"modified":"2026-09-29T09:39:08","modified_gmt":"2026-09-29T13:39:08","slug":"travel-disclosure-form","status":"publish","type":"page","link":"https:\/\/www.bates.edu\/dof\/grant-management\/travel-disclosure-form\/","title":{"rendered":"Travel Disclosure Form"},"content":{"rendered":"<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_12' >\n                        <div class='gform_heading'>\n                            <h3 class=\"gform_title\">Travel Disclosure Form <\/h3>\n                            <p class='gform_description'>This form should be completed by faculty or staff intending to travel outside of the United States during the course of their work, transporting items\/software\/data\/technology. The policy also applies to a foreign person in the U.S. or working with foreign persons, educational institutions, or businesses that might be subject to sanctions. This form is to be completed once, and kept on file in the Office of the Dean of the Faculty.<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_12'  action='\/dof\/wp-json\/wp\/v2\/pages\/7093' data-formid='12' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_12' class='gform_fields top_label form_sublabel_below description_below validation_below' data-column-layout='fill'><li id=\"field_12_22\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"><label id='gfield_label_12_22' class='gfield_label gform-field-label' for='input_12_22'><span class='gform-field-label__text'>Facebook<\/span><\/label><div class='ginput_container'><input name='input_22' id='input_12_22' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_12_22'>This field is for validation purposes and should be left unchanged.<\/div><\/li><li id=\"field_12_1\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"7388c98b\" data-field-span=\"12\"><label id='gfield_label_12_1' class='gfield_label gform-field-label' for='input_12_1'><span class='gform-field-label__text'>Legal Name:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_12_1' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_12_17\" class=\"gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"8b32e0ec\" data-field-span=\"12\"><label id='gfield_label_12_17' class='gfield_label gform-field-label' for='input_12_17'><span class='gform-field-label__text'>Email<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_17' id='input_12_17' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_12_18\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--phone-format-standard gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"34e77bdb\" data-field-span=\"12\"><label id='gfield_label_12_18' class='gfield_label gform-field-label' for='input_12_18'><span class='gform-field-label__text'>Phone<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_18' id='input_12_18' type='tel' value='' class='medium'  placeholder='(999) 999-9999' aria-required=\"true\" aria-invalid=\"false\"   data-mask=\"(999) 999-9999\" \/><\/div><\/li><li id=\"field_12_3\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"25e1fdb5\" data-field-span=\"12\"><label id='gfield_label_12_3' class='gfield_label gform-field-label' for='input_12_3'><span class='gform-field-label__text'>Department\/Program<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_12_3' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_12_5\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"37cac0ac\" data-field-span=\"12\"><label id='gfield_label_12_5' class='gfield_label gform-field-label' for='input_12_5'><span class='gform-field-label__text'>What is your citizenship?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_12_5' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_12_6\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"a54a3e53\" data-field-span=\"12\"><label id='gfield_label_12_6' class='gfield_label gform-field-label' for='input_12_6'><span class='gform-field-label__text'>Dates of Travel<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_12_6' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_12_11\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"9212a393\" data-field-span=\"12\"><label id='gfield_label_12_11' class='gfield_label gform-field-label' for='input_12_11'><span class='gform-field-label__text'>Will you be working with foreign persons, faculty or students, educational institutions or businesses while traveling for your research or employment?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_11' id='input_12_11' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Yes' >Yes<\/option><option value='No' >No<\/option><\/select><\/div><\/li><li id=\"field_12_13\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"8cf0ae2f\" data-field-span=\"12\"><label id='gfield_label_12_13' class='gfield_label gform-field-label' for='input_12_13'><span class='gform-field-label__text'>Will you be transporting any encrypted software\/technology\/items\/data to a foreign country?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_13' id='input_12_13' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Yes' >Yes<\/option><option value='No' >No<\/option><\/select><\/div><\/li><li id=\"field_12_14\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"dfb5dd79\" data-field-span=\"12\"><label id='gfield_label_12_14' class='gfield_label gform-field-label' for='input_12_14'><span class='gform-field-label__text'>If yes, please describe the software\/technology\/items<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_14' id='input_12_14' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_12_15\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"7b71196f\" data-field-span=\"12\"><label id='gfield_label_12_15' class='gfield_label gform-field-label' for='input_12_15'><span class='gform-field-label__text'>Will you be transporting any college-owned equipment to a foreign country?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_15' id='input_12_15' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Yes' >Yes<\/option><option value='No' >No<\/option><\/select><\/div><\/li><li id=\"field_12_16\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"0ef7dde3\" data-field-span=\"12\"><label id='gfield_label_12_16' class='gfield_label gform-field-label' for='input_12_16'><span class='gform-field-label__text'>If yes, please list the equipment (e.g., laptop, computer, cell phone, GPS).<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_16' id='input_12_16' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_12_21\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"15345b62\" data-field-span=\"12\"><label id='gfield_label_12_21' class='gfield_label gform-field-label' for='input_12_21'><span class='gform-field-label__text'>Your signature below indicates that you understand that you are responsible for any risks or responsibilities related to export control or safety during the specified travel, and that you agree to:  --abide by export control guidelines; maintaing effective control over the item; use secure internet connections; utilize personal firewall protection and password protect any files that contain controlled technology; and ensure the device contains no mass market 64-bit encryption software or other encryption capabilities restricted under EAR.<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_21' id='input_12_21' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   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