Office of Student Activities
ASCC Travel Checklist
The following must be provided as a complete packet at least 45 days prior
to travel. All forms/packets are available under ‘Forms’ on our website:
http://cms.cerritos.edu/activities/.
Please note: incomplete packets will NOT be accepted.
Student Eligibility Form (this form should be submitted BEFORE submitting the completed
ASCC Student Travel Request Form
Copy of Conference and Travel Request Form for Advisor(s) with all signatures
o All forms must be signed by advisor(s), manager and Vice President. No exceptions!
o Travel out of state, over $1,000, or to occur less than 30 days from time form
submitted require signature of the President/ Superintendent.
o Travel out of country requires Board of Trustee approval.
Student Travel Packet for each student traveling (liability forms)
Provide a printed copy of all travel arrangements (as applicable):
o Flight
o Shuttle
o Registration
o Lodging
o Map(s) for Mileage
o Parking
o Other ___________________________________________________
Claim statement for meal money, if applicable
o Show the meal money math breakdown on the statement
EXAMPLE: 5 participants @ $42/day = $210 x 3 days = $630
Maximum Meal Breakdown:
Breakfast: $10
Lunch: $14
Dinner: $18
o Submit all original receipts and any remaining meal money cash after the
trip to the Payroll Window
Receipt(s) must show payment method used: Check, Cash, or Credit Card
packet)
*Students must have paid Student Activities fee prior to submitting Student Eligibility Form (proven by
showing current semester sticker on student identification card)
ASCC Travel Information
ASCC Student Travel Eligibility List
Student ID Date of Birth Gender
Faculty Advisors
Date of Birth Gender
* Enrolled in at least 5 units
* 2.0 GPA or higher
*In good academic standing
Further, I understand that random eligibility checks will be conducted by Student Activities staff.
Print Name: Signature: Date:
Legal Name as on government issued ID
Legal Name as on government issued ID
As the faculty advisor I hereby confirm that the above students meet the following eligibility to travel:
*
Students must have paid Student Activities fee prior to submitting Student Eligibility Form (proven by showing current semester sticker
on student identification card)
Cerritos Community College
Associated Students Travel Request Form
Part I: Advisor and Conference Information
Advisor Name: _________________________________________ Extension: ____________________
Department: _____________________________Club: ________________________________________
Name of Conference: ___________________________________________________________________
Location (City and State): _________________________________ Dates: ________________________
Purpose of Conference: _________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Part II: List of Student Travelers
STUDENT NAME (LAST, FIRST)
STUDENT ID
STUDENT NAME (LAST, FIRST)
(Please attach additional sheets if needed)
Part III: Estimated Expenses for Entire Group
Registration: _____________ Lodging: _____________ Meals: _________________________
Airfare: _________________ Taxi/Shuttle: _________ Vehicle Rental: __________________
Mileage: ________________ Parking: _____________ Other: _________________________
Describe Other: _______________________________________________________________________
Funding:
ACCOUNT #
AMOUNT
ASCC Allocated
600 - -
$
Fundraised
250 - -
$
TOTAL
$
Part IV: Flight Information
STUDENT’S LEGAL NAME
DATE OF BIRTH
GENDER
Departure Airport: __________________________ Arrival Airport: _____________________________
Flight Preference print-out attached
Use airline website, not 3
rd
party vendor such as Expedia or Orbitz.
Flights not needed
Part V: Hotel Information
Hotel Name: __________________________________________________________________________
Street Address: ________________________________________________________________________
Check-In Date: _____________________________ Check-Out Date: ____________________________
Nightly Rate: ____________ Total Including Tax and Resort Fees, if applicable: ____________________
Hotel print-out attached
Use hotel website, not 3
rd
party vendor such as Expedia or Orbitz.
Hotel not needed
Part VI: Approval and Authorization
Please attach a copy of the completed and approved (with signatures) Conference and Travel Request
Form for all Cerritos College Staff/Faculty traveling with this activity.
Advisor 1: ______________________________ Signature: _________________________ Date: _______
Advisor 2: ______________________________ Signature: _________________________ Date: _______
Dean of Student Services Signature: ____________________________________ Date: ______________
Revised: July 2017