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Wichita State University
Office of Vice President for Campus Life and University Relations
University-Sanctioned Student Travel Registration Form
Print and complete this form. Submit the completed form to the Office of Vice President for Campus
Life and University Relations, Campus Box 95, at least one week prior to the date of departure.
Please note that the signature line must be completed by the University official authorizing the travel
before
submitting the form to the Office of Vice President for Campus Life and University Relations.
University-sanctioned student travel occurs when the destination activity or event is away from the
University’s campus and all the following criteria are met:
University resources are used to fund the travel, in whole or in part.
A vehicle owned or leased by the University is used for the travel and/or public or
commercial transportation is used.
A University employee, serving in his or her official capacity, approves the travel.
A University-Sanctioned Student Travel Registration Form that lists all travelers is
completed, signed by a University employee serving in his or her official capacity, and
submitted to the Office of Vice President for Campus Life and University Relations at least
one week prior to the departure date.
(WSU Policies and Procedures Manual, Section 8.13)
University department planning or approving the travel: ________________________________________
Source and amount of University resources used to fund the travel: _______________________________
Purpose of travel: _______________________________________________________________________
Means of travel: ________________________________________________________________________
Destination: ___________________________________________________________________________
Date of departure: ______________________________________________________________________
Date of return: _________________________________________________________________________
_________________________________________________ ____________________________
Signature of University official authorizing the travel Date
_________________________________________________ ____________________________
Printed name of University official authorizing the travel Phone Number
List all travelers including University employees
(if any). Use page 2 if additional space is required.
Name
Student
or
Employee
myWSU ID Emergency Contact
Emergency
Contact Phone
Number
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2
Name
Student
or
Employee
myWSU ID
Emergency Contact
Emergency
Contact Phone
Number
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