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Wichita State University
University-Sanctioned Student Travel Registration Form
Print and complete this form. Submit the completed form to the Office of the Vice President for
Student Affairs, 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 the Vice President for Student Affairs. The form can also be
submitted by fax to 316-978-3366.
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 the Vice President for Student Affairs 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.
*There must be an emergency contact name and phone number for every member of the traveling
party, and the emergency contact must be someone who is not in the traveling party.
N
ame
Student or
Employee
S or E myWSU ID Emergency Contact*
Emergency
Contact Phone
Number
_________________________ ________ ______________ _________________________ ______________
_________________________ ________ ______________ _________________________ ______________
_________________________ ________ ______________ _________________________ ______________
