Form revised 10/2014
Application for Faculty/Staff Travel with Students
TRIP TYPE (select from either domestic or international travel; form applies only to overnight trips)
DOMESTIC TRAVEL REQUEST
(CHECK ALL THAT APPLY)
MISSIONS
ACADEMIC
OTHER
INTERNATIONAL TRAVEL REQUEST
(CHECK ALL THAT APPLY)
MISSIONS
ACADEMIC (not for Study Abroad; contact office)
OTHER
Dates of Trip From: To:
Itinerary: Which states or countries will students travel to or through?
What is the purpose of trip?
How is the trip being funded, and how are funds being managed?
Who is making arrangements for transportation, lodging and meals? Include any outside travel agency or other
organization involved in making arrangements.
Please include date with signature
Signature of Requestor: ___________________________________ Print name: ______________________________
For academic trips with students
Academic Department Chair
Academic Dean
Provost
For non-academic trips with students
Department Head
Vice-President
Please submit the signed form to the Office of Spiritual Formation
at least three weeks prior to the proposed departure date.
For Internal Use only Date received by Spiritual Formation
Approved by Spiritual Formation Risk Management
