Trip Information and Registration Form

Student organizations must complete this form ANY time they travel as an organization (from one day to multiple nights).

Name of Organization

This trip is:

Date of Departure from Campus

Date of Return to Campus

Location(s) of Trip

Travel Supervisor First Name (Student Leader)

Travel Supervisor Last Name (Student Leader)

Contact Phone Number for Travel Supervisor while on trip.

Travel Supervisor's Email

Method of Transportation

Advisor Confirmation

Yes

By clicking yes to this question I confirm that I have received permission from my advisor for this trip as detailed above. The advisor has granted permission for the student listed above to serve as the Travel Supervisor and has spoken with him/her regarding expecatations and policies for the trip. We have exchanged contact information and the advisor is aware of all the people going on the trip. The advisor has been given a copy of all the paperwork completed for this trip for his/her records.

Date completing this form.

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