Travel Request | Domestic

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WALLA WALLA UNIVERSITY

Domestic Student Travel Request Application

This form is for nonacademic trips such as club and mission trips

Prior to any advertising, fund raising, or making travel arrangements for domestic student travel, plans must be cleared with the VP for Student Life:

Requests should be submitted at least two weeks before the proposed departure date.

This application is NOT for academic trips.

TRIP LEADER

Leader Name (Faculty/Staff employee)*

First Name

Last Name

Leader Email:*

Leader Cell Phone:*

Leader WWU ID#*

Sponsoring department/club:*

Club or faculty/staff sponsor:*

First Name

Last Name

Club or faculty/staff sponsor email address:*

TRIP INFORMATION

Other faculty/staff member(s) on trip:

Describe the purpose of this trip:*

Departure Date & Time:*

Return Date & Time:*

Destination(s):*

Attach proposed travel itinerary:*

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Comments or other relevant information pertaining to this trip:*

Particiant list must be an excel spreadsheet with columns for first name, last name and WWU ID:*

We have the complete participant list and will upload it below We do not have the complete participant list so will email the excel spreadsheet to student.life@wallawalla.edu one week before departure.

PARTICIPANT LIST (Excel file only). Must include first name, last name and WWU ID. Please indicate which participants are not students.

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TRANSPORTATION

Method of transportation:*

All participants drive independently with no arrangements made by the leader(s). See Personal Vehicle Use policies. All transportation provided by university-owned or business-rented vehicles, or privately-owned vehicles specifically arranged by the leader(s). Leader(s) are required to follow the WWU Driver & Transportation and Personal Vehice Use policies.

WWU Personal Vehicle Use Policies

WWU Driver & Transportation Policies

For any privately-owned vehicles, personal auto insurance covers any accidents or injuries that might occur.

Note: 15-passenger vans may not be used for any university activities.

I have read the Walla Walla University Travel and Vehicle Policies and Procedures.

I understand that immediately prior to departure I am responsible for emailing any changes to the participant list to student.life@wallawalla.edu

CARE PLAN

Nearest urgent care and/or hosptial at your desitnation?*

Care plan should a participant become ill or injured:*

Travel mondificaitons if a participant becomes ill or injured:*

FINANCIAL INFORMATION

Will expenses for this trip be over $400?*

Yes No

Will there be any fund raising activity, either individually or organizationally, to pay for this trip?*

Yes No

If yes, a copy of this form will be sent to the Advancement office.

Estimated Expenses

Lodging/Meals: $

Transportation: $

Other: $

Total Expenses: $

Estimated Funding

Funding Source:*

1. Estimated amount:* $

Funding Source:

2. Estimated amount: $

Funding Source:

3. Estimated amount: $

Total funding:* $

Authorization and Approval

___ Approved as submitted

___ Denied

___ Approved with the following stipulations:

_____________________________________________________________________________________________________________________________________________________________________________

Vice President for Student Life ___________________________________________