Fillable PRIOR TRIP APPROVAL REQUEST ASWVC (Wenatchee Valley College)

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PRIOR TRIP APPROVAL REQUEST ASWVC (Wenatchee Valley College)

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REQUEST DATE
A. SUBSISTENCE
(
Must be in Travel status
)
# of Persons # Days of Travel Subtotals
Breakfasts -----6:00am - 7:30am
Lunches ------11:30am - 2:00pm
Dinners ---------6:00pm - 7:30pm
B. LODGING
# of Rooms # of Nights Subtotals
LODGING TOTAL
Rooms
Rooms
Rooms
Est. Miles Subtotals
# Ni
g
hts
Number Subtotals
FEES TOTAL
E. OTHER FEES (toll fees, ferry parking, taxi)
Subtotals
GRAND TOTAL
VP of Student Services Date
WVC President Date
Date
WVC PRESIDENT SIGNATURE
REQUIRED IN ADVANCE FOR OUT-OF-STATE TRAVEL
Date
Date
Assoc. Dean of Campus Life, Equity, & Incl.
Other (specify):
10 Passenger Van
11 Passenger Van
11 Passenger Van
DESTINATION
DATE RETURNING
TIME RETURNING
ASWVC Advisor / Coach
BUDGET CODEORGANIZATION SUBMITTING REQUEST
$0.565
$0.75
TRAVEL ITINERARY
DATE DEPARTING
$0.75
$0.75
Charter Bus (enter quote):
Rental Vehicle (enter quote):
PRIOR TRIP APPROVAL REQUEST
ASWVC
C. TRANSPORTATION
MEAL MONEY
TOTAL
Room Rate
ADVISOR / COACH / INSTITUTIONAL REPRESENTATIVE
PERSONS DRIVING - Must complete Safe Driver Training
TIME DEPARTING
Rate/Mile
ADDITIONAL INSTITUTIONAL REPRESENTATIVES
PURPOSE OF TRIP
Copy of current drivers license on file? YES
MUST ATTACH A COMPLETE ROSTER OF ALL STUDENTS THAT ARE ATTENDING WITH THE SID NUMBERS
Rate ($10 max)
I verify that I have a valid Washington State Driver's License, and that I have not been convicted of negligent or reckless driving, or driving while under the influence of alcohol or
drugs (If you have been convicted, please contact the Associate Dean of Campus Life, Equity, & Inclusion for more information. You may be prohibited from driving a college
vehicle and/or transporting students). I acknowledge that I am responsible for complying with all state laws regarding the operation of a motor vehicle. WVC procedures
regarding student travel specify that use of alcohol and illegal drugs are prohibited at all events, whether on or off campus, and by signature on this form I agree to comply with
this procedure.
TRANSPORTATION
TOTAL
Privately Owned Vehicle
D. FEES: Registration; Membership; Etc.
Payee:
Payee:
Estimated Total
Person making request
29 Passenger Bus
$2.50
Rate
<100 Miles - Premium fee (add. to mileage) $130.00
SIGNATURES / APPROVAL
Overnight stay / per night $55.00
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PRIOR TRIP APPROVAL REQUEST ASWVC (Wenatchee Valley College)

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Completed 27 July 2020

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