Travel Request Form

Graduate & Professional Student Association Travel

REQUEST TO TRAVEL FORM


Group:                                           Funding Board/Department:   

Contact Name:                            Phone:       Email:  

Destination:                                 Purpose:
(City and State)                                                                                 (Conference, Convention, Annual Meeting)

Date of Departure:                     Time:    AM   PM

Date of Return:                           Time:    AM   PM


Registration Fee: $______ x ___ (# of students) = $_______total       Due Date: _________________________

 

Website/Address: __________________________________              Payment Method: ___________________

(Credit Card or Check)

Method of payment: □ Direct from University □ Individual(s) □ Student Organization □ Advisor

*Attach registration forms

 


Transportation Method:

□ Personal Car $_________        □ Air $_______                   □ Train/Bus $_______             □ Rental (see below)

     # of vehicles _____                        # of tickets _____           # of tickets _____                 # of vehicles _____

 

Method of payment: □ Direct from University □ Individual(s) □ Student Organization □ Advisor

 

Rental Vehicle Company _________________________________ Telephone#____________________________

Company Address _____________________________________________________________________________

Date of Reservation ______ Name of person(s) who made reservation __________________________________

Rental Vehicle Cost per day: $________+ Tax $______ ( ___% tax rate) = $_________total

*Attach list of drivers/passengers, itinerary (airfare, train, bus), quotes, contract, etc.


 

Hotel: _________________________________________ Telephone#____________________________________

 

Hotel Address: ______________________________________

 ________ Tax ID#___________________________

 

Cost of Hotel per night: $___________+ Tax $______ ( ___% tax rate) = $__________ total

(If different rate) $___________+ Tax $______ ( ___% tax rate) = $__________ total

Indicate: __________ # of nights of stay __________ # of rooms reserved

 

Total for Entire Stay: $_____________             Amount Funded by Funding Board: $ ___________________________

 

Date of Reservation ______      Name of person(s) who made reservation _______________________________

 

Method of payment: □ Direct from University □ Individual(s) □ Student Organization □ Advisor

*Attach hotel quote with confirmation number and total price


 

Other Expenses to be Considered provide detailed explanation if miscellaneous:

Taxi Expense $________                      Parking Fees $___________               Miscellaneous $________________


 

TOTAL COST OF TRAVEL $_______________                      TOTAL AMOUNT FUNDED $_______________________

 


JUSTIFICATION FOR TRAVEL

(How does this benefit your group? What will you gain? What is the advantage to FAU?)

____________________________________________________________________­

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

_____________________________________________________________________

REQUIRED TRAVEL INFORMATION

 

 

 

Student Name

 

 

 

Z Number

 

 

 

Address

 

 

 

Phone

 

 

FAU

Email

* Code of Conduct & Procedure Agreement

 

 

 

 

 

¨ Attached

¨ On File

 

 

 

 

 

¨ Attached

¨ On File

 

 

 

 

 

¨ Attached

¨ On File

 

 

 

 

 

¨ Attached

¨ On File

* I have read and agreed to the Student Travel Code of Conduct/Liability Form and Travel Procedure Agreement for the 2009-2010 Academic Year.

 

REQUIRED PRE-APPROVALS

I certify all information is accurate and every student traveler is currently enrolled at FAU. I understand my entire student organization will be held accountable for not following Student Travel Policy, University Controller’s Office and SG Accounting and Budget Office Travel Policies and Procedures, even in my absence.

 

__________________________________________________________________________

Signature of Traveler                                                 Print                                                                Date

  


 Last Modified 2/28/13