Fillable Shorttermtravelcomplianceform - Shortterm travel compliance form091117

Fill Online, Printable, Fillable, Blank Shorttermtravelcomplianceform - Shortterm travel compliance form091117 Form

Use Fill to complete blank online CALIFORNIA STATE UNIVERSITY CHANNEL ISLANDS pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Shorttermtravelcomplianceform - Shortterm travel compliance form091117

On average this form takes 7 minutes to complete

The Shorttermtravelcomplianceform - Shortterm travel compliance form091117 form is 2 pages long and contains:

  • 0 signatures
  • 3 check-boxes
  • 25 other fields

Country of origin: US
File type: PDF

U.S.A. forms for California State University Channel Islands

BROWSE CALIFORNIA STATE UNIVERSITY CHANNEL ISLANDS FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
CALIFORNIA STATE UNIVERSITY CHANNEL ISLANDS
Academic Affairs
Instruction for Faculty Application for Short-Term Travel Study Checklist
All international travel related courses are extraordinary opportunities for our students. Foreign travel can
provide many rewards but also presents many risks. The procedures herein are driven primarily by Executive
Orders and are designed to promote a safe travel experience and reduce the likelihood or severity of an injury or
loss. These requirements are intended to help reduce risks to students, faculty and the University.
Links for all required documents and Department of State travel warnings can be found at:
http://www.csuci.edu/hr/internationaltravel.htm
In compliance with new requirements from CSU Risk Management Association, our insurance requirements
have changed. Whereas previously, students and faculty acquired their own foreign travel insurance through
Wells Fargo, CSUCI Risk Management will now secure Foreign Travel Liability Insurance for all University
392 courses. Lead faculty advisors are now required to prepare a spreadsheet that includes the following
information:
• Purpose of travel
• Name of each employee/student traveler
• Dates of departure and return
• Name of all faculty members traveling with students
• Number of non-student, non-employees traveling with the student/employee
• Any special needs
This spread sheet will be sent to Risk Management who will purchase policies for each traveler. Once those
policies are secured, Travel Assist cards for each traveler will be given to the Lead Faculty assigned. More
information regarding our new insurance requirements can be found at:
http://www.csuci.edu/hr/internationaltravel.htm
Please carefully read and initial each of the items on the checklist and attach copies as indicated. Once the trip is
completed, please shred your copies immediately. The Center for International Affairs Office will retain all
copies in our office for three years as per Chancellor’s Executive Order AA 2011-1.
Submit this form along with all necessary documentation to the Program Support Coordinator 30 days prior to
your departure date.
If you have questions or need further assistance, please contact:
Jeannette Edwards
Centers Coordinator
Ojai Hall
(805) 437-2608
CALIFORNIA STATE UNIVERSITY CHANNEL ISLANDS
Academic Affairs
Short-Term Travel-Study Abroad Policy Compliance Form
Term course will be offered: Fall ________ Winter ________ Spring ________ Summer _________ 20 _______
Course Title __________________________________________________Dept/Course #______________________
Lead Faculty Assigned ___________________________________ Academic Program: ______________________
Travel Location(s) ___________________________________ Dates: From _______________ To _____________
! ! ! Countries!
Initial Faculty Application for Short-Term Travel Study Checklist
_____ At least one pre-departure meeting has been held in coordination with International Office staff to cover Safety
and Risk Management issues and required CSU forms. Date held: ________________
_____ I have verified that there are no Department of State Travel warnings currently in effect for the countries to be
visited. Check the Department of State web site at travel.state.gov/travel/
_____ I have provided a list of all student and faculty travelers to Risk Management for the purpose of purchasing
Foreign Travel Liability Insurance.
_____ I have provided the Center for International Affairs with:
A detailed itinerary including the contact information for accommodations in English.
Contact information for all Faculty members
A packet for each student including:
o Basic information including name, contact information, and emergency contact information.
o Signed medical disclosure form.
o Signed Release of Liability/Assumption of Risk Form.
o Signed Air Travel Notification Form with Release and Hold-Harmless Statement.
o A photocopy of the passport for each student and faculty member.
Lead Faculty Signature Faculty Name (print) Date
Faculty Signature Faculty Name (print) Date
Director, Center of International Affairs Name (print) Date
Senior International Officer (SIO) Name (print) Date
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Shorttermtravelcomplianceform - Shortterm travel compliance form091117

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 8 February 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document