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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 DO-330
VALENCIA COLLEGE
AUTHORIZATION FOR INTERNATIONAL TRAVEL
TO BE VISITED:
PREFIX AND TITLE:
NON-VALENCIA FUNDING SOURCES:
____ 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
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
$
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): $
$
Enter the budget names, numbers, and managers into the table below:
GRAND TOTAL AMOUNT: $
____ CASH ADVANCE REQUESTED FOR:
$____________________
Print Name ___________________
Print Name ____________________
Approved by Campus/Vice Pres.
Print Name ____________________
Rev. 05-2015
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