Payment Request FormPayment Request Form Georgia State Faculty Member Name* First Last Georgia State Faculty Member Email* Select the appropriate Business Office*select oneSchool of MusicCommunity Music ProgramsBandsGuest Artist Full Name* First Last Guest Artist Email Enter Email Confirm Email Is the guest artist a United States Citizen?select oneYesNoIs the guest artist a Georgia State employee or student?*select oneNoEmployeeStudentPanther ID NumberPerformance or Event Start Date* Date Format: MM slash DD slash YYYY Performance or Event End Date* Date Format: MM slash DD slash YYYY Performance or Event Title*Example: University Singers Concert, Master Class, etcPerformance or Event Description*Provided a detailed explanation of the guest's visit. Include all expectations including master classes, multiple performances, etc.Funding Source(s)*Indicate the appropriate funding source(s) for guest artist's payment. If funding is from multiple sources, click the "+" to add additional lines. In each line, provide the source and amount from the source. Example: School of Music - $100.00 CENCIA Grant - $100.00 Total Payment Amount*Is Georgia State University providing travel for the guest?*select oneYesNoTravel Arrangements Describe the travel information. For flights, include the arrival date and departure date. Note: Flight arrangements must be made separately. Flights will not be booked through the Payment Request Form. Is Georgia State University providing a hotel for the guest?*select oneYesNoHotel Arrangements Describe the hotel information. Include the arrival date and departure date. Note: Hotel arrangements must be made separately. Hotels will not be booked through the Payment Request Form.Upload Supporting Documentation(posters, programs, flyers, etc.)CAPTCHA