Cerritos Community College
Associated Students Travel Request Form
Part 1: Advisor & Conference Information
Advisor(s) Name: ______________________________ ___________EXT: ______________________________
Department: ____________________________________ Club:______________________________
Name of Conference: ________________________________________________________________________
Location (City and State): ___________________________________________Dates: ________________________
Purpose of Conference: ______________________________________________________________________
__________________________________________________________________________________________
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Part II: List of Student Travelers including Student Number
Student Name & Number Student Name & Number
(Please attach additional sheets if needed)
Part III: Estimated Expenses
Registration: _____________ Lodging: ________________ Meals: ______________________
Airfare: _____________ Taxi/Shuttle: ________________ Vehicle Rental: ____________________
Mileage: _____________ Parking: ________________ Total Estimated Expenses: ___________
Other: _____________ Describe other: __________________________________________________
ASCC Account Number: ____________________________________________________________________
Part IV: Approval & Authorization
Attendee: _________________________________Signature: ________________________Date: ___________
Manager: _________________________________Signature:________________________ Date: ___________
VP Signature: _______________________________Date: ________________
Special Approval- President/Superintendent Signature: _____________________________Date: ___________
Special Approval- Board Approval Meeting Date: ___________________________________
• For more information, see Board Policy 6900, Administrative Procedure 6900 & Student Government Manual 4.5 and 4.71.
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