Fillable Authorization For International Travel (Valencia College)

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Authorization For International Travel (Valencia College)

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  • 27 check-boxes
  • 101 other fields

Country of origin: US
File type: PDF

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*Payment will be made upon submission of a Per Diem Voucher following the trip with all receipts attached. **Traveler’s signature indicates that he/she is aware of the travel policies of Valencia College
and understands that authorization is granted subject to conformity with said policies. Submit the form to Accounts Payable DTC-3
VALENCIA COLLEGE
AUTHORIZATION FOR INTERNATIONAL TRAVEL
NAME:
VID #
Mail Code:
CITIES/COUNTRIES
TO BE VISITED:
REASON FOR TRAVEL/COURSE
PREFIX AND TITLE:
FLIGHT DATE AND TIME:
Departure:
PROGRAM DATE AND TIME:
Begins:
NON-VALENCIA FUNDING SOURCES:
Please initial:
____ I have included back-up documentation for the estimated expenses below (program provider quote, program itinerary, airline quote, hotel webpage, etc.).
____ NON-STUDY ABROAD: I have read and followed the steps for international travel:
http://valenciacollege.edu/international/studyabroad/staff/internationaltravel.cfm
____ NON-STUDY ABROAD: I am aware that I must register my trip with the SAGE Office at least 15 days prior to travel.
____ CREDIT CARD USERS: I have researched the credit card options of my destination and am aware that some sites will no longer accept magnetic swipes.
ESTIMATED FUNDS REQUESTED:
I. HOTEL/ACCOMMODATIONS: TRAVELER TO PAY P-CARD CHECK REQUEST INCLUDED IN PROGRAM FEE
A. City 1:
Room Rate:
$
# Nights:
Misc. (Internet, etc.):
$
$
B. City 2:
Room Rate:
$
# Nights:
Misc. (Internet, etc.):
$
$
C. City 3:
Room Rate:
$
# Nights:
Misc. (Internet, etc.):
$
$
D. City 4: Room Rate: $ # Nights: Misc. (Internet, etc.): $ $
II. MEALS: (not included with program fee – State Dept. rates) TRAVELER TO PAY P-CARD CHECK REQUEST INCLUDED IN PROGRAM FEE
A. MEALS CITY 1:
Breakfast
$
Lunch
$
Dinner
$
$
B. MEALS CITY 2:
Breakfast
$
Lunch
$
Dinner
$
$
C. MEALS CITY 3:
Breakfast
$
Lunch
$
Dinner
$
$
D. MEALS CITY 4: Breakfast $ Lunch $ Dinner $ $
III. AIR & GROUND TRANSPORTATION: TRAVELER TO PAY P-CARD AMEX CHECK REQUEST INCLUDED IN PROGRAM FEE
TRAVEL BY:
Airplane
Bus/Van
Taxi
Ferry/Boat
Comments:
$
IV. PROGRAM REGISTRATION FEE: TRAVELER TO PAY
P-CARD CHECK REQUEST
NUMBER OF PARTICIPANTS: PER PERSON PROGRAM FEE: $
Comments:
$
$
V. MEDICAL/TRIP INSURANCE: TRAVELER TO PAY P-CARD CHECK REQUEST INCLUDED IN PROGRAM FEE
VI. ADDITIONAL PROGRAM FEES: TRAVELER TO PAY
P-CARD CHECK REQUEST
Comments:
$
$
VII. MISCELLANEOUS. (List all other expenses):
$
TOTAL ESTIMATED COSTS*
$
Enter the budget names, numbers, and managers into the table below:
BUDGET TO CHARGE
INDEX
ACCOUNT
$ AMOUNT
BUDGET MANAGER SIGNATURE
BUDGET MANAGER NAME
GRAND TOTAL AMOUNT: $
____ CASH ADVANCE REQUESTED FOR:
$____________________
Traveler’s Signature
____________________
Print Name ___________________
Date
_____________
Approved by Supervisor
____________________
Print Name ____________________
Date
_____________
Rev. 04-2012
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Authorization For International Travel (Valencia College)

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Completed 18 July 2020

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