This form is for travelers who are planning trips to destinations with State Department Advisories of level 3 or 4, or CDC Travel Warning level 3. For faculty and staff whose travel does not fall in these advisory levels, a Concur travel request may be submitted directly and this form is not required. All students should work with the Education Abroad office regarding travel approval and international insurance.
Please complete this form in detail, addressing each point. Incomplete applications will be referred back to the traveler for additional clarification or denied based on insufficient information. Include pertinent sources or links in the fields below. You may email any supplementary documents to Emily Hassenstab at ehassenstab@unomaha.edu after submitting this request (letter of invitation or sponsorship, schedules, emails from hosting organization, etc.). Travelers who wish to undertake university sponsored international travel must complete this petition questionnaire prior to travel. The goal of this enhanced procedure is to promote decisions and practices that can mitigate heath and safety concerns, as well as the traveler’s exposure to COVID-19. This form serves as part of the approval process for UNO compliance with the NU System's Executive Memorandum 25 policy.
The traveler understands that the university may be limited in its ability to provide assistance and resources in the event of a crisis, including the possibility of being delayed in the host country due to newly imposed travel restrictions or a positive COVID-19 diagnosis.
The university retains the right to withdraw approval and/or require the traveler to leave a high-risk location at any time.