Updated: 03/01/2019
Short Term Domestic Trip
Student Fee Calculation Sheet
CRN: Term/Year: Class Title:
Program Name: Destination of Travel:
Credit Hours: Anticipated Enrollment: Dates of Travel:
Instructor of Record Name(s): Workload Hours:
Workload Hours:
Workload Hours:
Chaperone (if required):
Anticipated Overhead Costs (including faculty and chaperone travel expenses):
Item
Descr
i
p
ti
on
(Attach additional sheets as n
ece
ssa
ry
)
Cost
Quantity
Total Cost
Airfare
Lodging
Vehicle Rental/Gas
Food
Entertainment,
Tours, etc.
Other
Total
Anticipated
Overhead
(add the total cost for each item)
Funding Available to Offset Anticipated Overhead Costs:
Item
Description
Total Funding
Anticipated Revenue Share
($50 x credit hours x anticipated enrollment)
Professional
Development
Funds
Foundation Funds
Other
Total
Funding
Available
(add the total cost for each item)
Net
Overhead
Costs*
Anticipated
Overhead
Costs (from above) minus
Funding
Available
Calculated Student Program Fee:
Item
Description
(Attach additional sheets as n
ece
ssa
ry
)
Anticipated Enrollment
Total Cost
Airfare
Lodging
Vehicle Rental/Gas
Food
Entertainment,
Tours, etc.
Contingency
Other
Net Overhead Costs* (from above)
Total
Anticipated
Cost
(add the total cost for each item)
Total Anticipated Cost Divided by Anticipated Enrollment (cost per student)
Approval Signatures:
Department
Chair Date Dean Date
Provost Date
VP of
Finance
&
Administration Date
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit