SUNY Orange County Community College
Directions: The Travel Approval Request and Liability Waiver Form must be completed for all local, state, and
international trips. Once appropriate signatures are obtained, this form must be submitted, two weeks in advance,
to the VP of Administration for final approval. International trips must be approved by the President by October 1
of the academic year in which the trip will be offered. Complete the following information and obtain the required
Trip Organizer Today’s Date:
(please print name)
Phone # during trip: Departure Date:
Return Date:
Name of Course/Club %CRN # # of people attending:
Method of Transportation: (e.g. bus, van, providing own, etc.)
Destination & Purpose of Trip
City & State:
Yes, “Waiver of Liability” forms will be collected from all participants by trip organizer prior to travel. Liability
forms are to be filed with sponsoring department. Each area VP will send approved travel request form and liability
forms to Security. In the event of an emergency while on the trip, please call Security at 845-341-4710.
I have read and understand the instructions for travel.
Faculty Class Trip Date:
Department Chair
Student Activities Club Date:
Club Advisor Signature
Area AVP Signature
International Travel: Date:
Dept. Chair Signature
Area AVP Signature
President Signature
*Itinerary must be attached. Advertisement of trip is acceptable after approval from the President.
*All participants must enroll in either a 1-credit seminar/course or a non-credit course through CAPE.
*Participants are encouraged to obtain travel insurance. If they do not, they must so indicate on the waiver form.
Director of Continuing & Prof. Education Date
The signature of the Vice President for Administration below denotes final approval for all travel requests.
Vice President Administration Date
Revised Sept. 2015