Pre-Approval Student Travel

Today's Date

mm/dd/yyyy

Student Information

First Name

Last Name

I am a:

If you selected "other" then please list here

Advisor/Person funding trip

Advisor not listed

Add name here if your advisor isn't listed in the dropdown menu

Travel Information

Name of Conference/Workshop, etc.

Destination

Date of departure

mm/dd/yyyy

Date of Return

mm/dd/yyyy

Check all that will be needed for trip:

Save all receipts for hotel (itemized receipt), meals, transportation that you intend to be reimbursed for after the trip.

Hotel

Flight

Meals (with itemized receipts)

Per diem

Rental car

Other transportation (taxi, Uber, subway, etc.)

Other:

Additional information about trip

Estimated cost of trip (or maximum cost allowed)

Account to charge

Send me a copy of my responses