Student Travel

You only need to complete this form if you are traveling overnight to an event that is paid for (fully or partially) through a WesternU account (e.g. Club, Class, SGA, College).

From whom are you receiving funding? (Check all that apply)

I acknowledge that I will not be reimbursed for travel if I do not submit this student travel notification form and receive an approval notice prior to departure! Please submit this form no less than 14 days before travel.

I acknowledge that my travel request will be denied if I am not in good academic standing as only students in good academic standing are permitted to travel. If you are concerned or unsure, you should discuss your status with your Student Affairs Professional before committing to any travel plans.

I understand that Original/itemized receipts for all travel expenses incurred are required to receive a reimbursement through any WesternU account. Attach receipts to your Student Reimbursement Form.

I understand that I must follow any procedures outlined by my college regarding excused absences. Contact your College's Student Affairs Professional for more information.

Traveler's First Name Enter Traveler's First Name

Traveler's Last Name Enter Traveler's Last Name

Traveler's WesternU ID Enter Traveler's WesternU ID

Traveler's WesternU Program

Traveler's Year of Graduation Enter Traveler's Year of Graduation

Traveler's WesternU E-mail Address Enter Traveler's WesternU E-mail Address

Traveler's Cell Phone Max Length 10 Digits. Numbers only-no dashes

Select Trip Type

Conference/Event Name Enter Conference/Event Name

Conference/Event City Enter Conference/Event City

Conference/Event State/Country Enter Traveler's Year of Graduation

Date of Departure

Date of Return

Any Missing Class Due to Travel?

Date(s) of Missing Class:

From:

To:

Traveler Currently on Academic Probation?

How are you traveling to the event?

Driving Flying

Please Note: If you are driving your personal vehicle to this event, you are not covered by the University's policy. If you are involved in an automobile accident, you will need to file a claim with your personal insurance carrier.

Departure Flight(s)

Date	Airline	Flight Number	Departure City	Arrival City

Return Flight(s)

Date	Airline	Flight Number	Departure City	Arrival City