Out-of-Country Trip Request Form

Trip Title:   ___________________________________________________________________

Class or organization: ___________________________________________________________

Date and time of departure: __________________ Date and time of return: _________________

Destination of trip: ______________________________________________________________

Purpose of trip: _________________________________________________________________

Method of travel: _______________________________________________________________

Please attach the following: 
-	a list of students (include ID numbers) who will attend
-	proposed itinerary with estimated dates
-	list of trip leaders, faculty and staff participants
-	transportation and lodging plans

Dean/Chair:				 Approved		Declined		        Date

		Signature:							

President’s Cabinet:	 		Approved		Declined 		        Date

		Signature:							

Fundraising Committee:		Approved		Declined		        Date

		Signature:							

Undergraduate/Graduate Council:
 	
					Approved		Declined		        Date

		Signature:							

Administrative Council (Board of Trustees)

					Approved		Declined		        Date
		
		Signature: