Walla Walla University
Domestic Student Travel Request Application
University-sponsored
Prior to any advertising, fund raising, or making travel arrangements, field trips, tours, and other domestic
university travel must be cleared with the department chair and/or appropriate administrator:
Academic travel is approved by the Associate Vice President for Academic Administration.
All other trips are approved by the Vice President for Student Life.
Requests should be submitted two weeks before the proposed departure date. This application is required if your
trip meets any of the following criteria. Please check all that apply:
One or more students with an overnight stay Athletic trip
Any class will be missed by a student Academic field trip
(Class absences should be kept to a minimum.)
Describe the purpose of the university-sponsored trip:
Applicant Name: _______________________________
Email: _______________________________________
Phone: _______________________________________
Trip Leader(s): ________________________________
Sponsoring Dept: ______________________________
For which class (if applicable): ____________________
_____________________________________________
Is this a regularly scheduled trip? __________________
Participant list required
Departure Day/Date: ________________ Time: _________
Return Day/Date: ________________ Time: _________
Destination(s): ____________________________________
____________________________________
Distance one way: ________________________________
Faculty/Staff member(s) on trip: ______________________
_________________________________________________
Leader’s cell number during trip: ______________________
_________________________________________________
Method of Transportation:
All participants drive independently with no arrangements made by the leader(s).
See Personal Vehicle Use policies.
Or
All transportation provided by university-owned or business-rented vehicles, or privately-owned
vehicles specifically arranged by the leader(s). Leader(s) are required to follow the
Walla Walla University Driver and Transportation and Personal Vehicle Use policies.
For any privately-owned vehicles, personal auto insurance covers any accidents or injuries that might occur.
Note: 15-passenger vans may not be used for any university activities.
Comments or other relevant information:
See reverse for required signatures.
_______________________________________________________________________________________________
_______________________________________________________________________________________________
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____________________________________________________________________________________________
____________________________________________________________________________________________
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This is a fillable form. Please
complete, print, sign and return to
appropriate office.
Financial Information (complete only if expenses are over $400):
Estimated Funding (obtain signature below as needed): Estimated Expenses:
Source _______________________________ Amount _______________ Transportation _________________
Source _______________________________ Amount _______________ Lodging/Meals _________________
Source _______________________________ Amount _______________ Other _________________________
Total Funding _______________ Total Expenses _________________
Will there be any fund raising activity, either individually or organizationally, to pay for this trip? Yes No
If yes, obtain approval signature below. If yes, how will funds be raised for this trip:
Funds raised by individual from personal contacts
Funds raised by individual from WWU donors or using WWU resources
_________________________________________ Funds raised by an organizing group or club
Signature by Advancement (VP or Designee) Date
Application Process:
I have read the Walla Walla University Travel and Vehicle Policies and Procedures.
I have attached a proposed travel itinerary.
I have attached an alphabetical list of all participants, clearly indicating which participants are not students. I
understand that immediately prior to departure I am responsible for e-mailing an updated participant list to either the
Associate VP for Academic Administration or VP for Student Life if there are any changes from the original list.
For academic travel submit for approval, with attachments, to Associate VP for Academic Administration.
Or
For all other travel submit for approval, with attachments, to VP for Student Life.
Required Signatures: _____________________________________________
Department Chair/Director/Administrator* Date
______________________________________________ _____________________________________________
Applicant Date Vice President/Associate Vice President Date
*If you are a department chair/director/administrator, please have your immediate supervisor sign.
STOP. Do not write below line.
Financial Plan Approved: _____________________________________________
Signature of Controller Date
Authorization:
Approved as submitted Denied Approved with the following stipulations: _________________
__________________________________________________________________________________________________
_____________________________________________ OR _____________________________________________
VP for Student Life Date Assoc VP for Academic Administration Date
After approval signature by AVPAA or VPSL, copy of this application will be sent to Applicant, Chair/Director,
Accounting, Student Missions (if applicable), and to Risk and Safety Management for entry onto the travel
calendar.
August 3, 2017