Fillable Group Authorization & Contact Form (University of Cincinnati)

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Group Authorization & Contact Form (University of Cincinnati)

On average this form takes 37 minutes to complete

The Group Authorization & Contact Form (University of Cincinnati) form is 2 pages long and contains:

  • 2 signatures
  • 9 check-boxes
  • 137 other fields

Country of origin: US
File type: PDF

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Student Travel Group Contact Information 0812
Student Travel
Group Authorization & Contact Form
Please print or type all responses
Travel Itinerary
Travel is: Domestic International
Travel Dates: Destination(s):
to
to
to
Will a faculty member or advisor be accompanying the students
on the trip? Yes (provide name, email and phone no.) No
Submitted by:
Travel Monitor’s Signature/Date Print Name
Submitted to:
Campus Contact Signature/Date Print Name
Authorized by:
Sponsoring Department/Organization/Date Print Name
Flight information (or attach airline itinerary)
(include airline name, flight numbers and dates/times of travel)
Travel Monitor Name and Affiliation with Group:
Academic Department or Student Organization Name:
Reason for Travel:
Mode(s) of Ground Transportation
Check all that apply
Applicable Requested
Information
UC Transportation van, bus or
automobile
UC Org Unit Vehicle (provide
unit name)
Private Automobile(s) (provide
license no(s) and owner names)
Chartered bus/vehicle (provide
company name, address, phone
and name of UC employee
booking reservation)
Other (provide carrier contact
information and name of UC
employee booking reservation
Accommodations
(include facility name(s), address(es) and phone number(s))
click to sign
signature
click to edit
click to sign
signature
click to edit
Student Travel Group Contact Information 0812
Travel Roster (please print or type)
Name of Traveler
Emergency Contact Person
Emergency Contact Phone Number
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Group Authorization & Contact Form (University of Cincinnati)

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Completed 24 July 2020

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