Travel Information

Please complete this form if traveling off-campus with students. This includes local travel as well as day and overnight trips.

* = required field

Trip Name *

Purpose *

If other please specify

Number of people traveling *

Travel Dates and Times

Overnight *

Yes

Start Date *

YYYY

Departure Time *

End Date *

YYYY

Return Time *

Destination Details

Travel Destination *

Address *

Street Address

Street Address Line 2

City

State / Province / Region

Postal / Zip Code

Country

Phone Number *

###

####

Faculty / Administrator Contact Information

Faculty / Administrator / Mentor Name *

First

Last

Faculty / Administrator / Mentor Email Address *

Faculty / Administrator / Mentor Phone Number *

###

####

Travel Itinerary

Travel Type *

Personal Vehicle

College Vehicle

Commercial Carrier (bus/train/limo/taxi)

Airplane

Hotel

Other

______________________________________________________________

Personal Vehicle Information

Vehicle Owner

Vehicle Make and Model

Vehicle plate information (State and licence number)

______________________________________________________________

Commercial Carrier Information

Commercial Carrier Name

Commercial Carrier Phone Number

###

####

______________________________________________________________

Airline Information

Airline

Airline Phone Number

###

####

______________________________________________________________

Departure Flight Information

Departing Flight Number

Departs from

Departure Time

Arrives at

Arrival time

Connecting Flight number

Departs from

Departure time

Arrives at

Arrival time

______________________________________________________________

Return Flight Information

Return Flight Number

Departs from

Departure Time

Arrives at

Arrival time

Connecting Flight number

Departs from

Departure Time

Arrives at

Arrival time

______________________________________________________________

Hotel Information

Hotel / Lodging Name

Hotel / Lodging Name Address

Street Address

Street Address Line 2

City

State / Province / Region

Postal / Zip Code

Country

Hotel / Lodging Phone Number

###

####

Travel Roster

In the space provided below type in (or paste) the names and S.I.D. # for each student traveling

List all students and SID #'s *