Attachment I
Campus Organization
Requested___________________________________________
Requesting
Organization__________________________________________________
Address_______________________________________________________________
Sponsor/Texas State
Official_______________________ Title____________________
Date of
Event_____________________20______Time(s)________________________
Date of Departure from
Campus_______________________Time_________________
Date of Return to
Campus____________________________Time_________________
Description of Event and the Role of Texas
State:
Total Projected Budget:______
Costs Borne by: Texas
State_____________________
Other______________________
Are Liability Insurance
Costs Included? Yes______ No______
How much___________
T-4, Release of Liability and Assumption of
Risk for Foreign Travel Form Included for Out-of-Country travel? Yes_________
No________
Travel Arrangements:
Sponsors traveling with organization and
assigned responsibilities of each sponsor:
Housing and Meals:
How will the trip enhance the image of Texas
State?
Are costs economically feasible for most
members?
How much class time will be lost?
Is the event in our recruiting areas?
Are there unique learning opportunities for
the students involved?
Describe:
Group Leader ________________________________________
Date _____________
Group Sponsor
Signature _______________________________Date _____________
Area Head
Signature __________________________________ Date _____________
Clubs
and organizations that originate in an academic unit (i.e., music ensembles,
choral groups, debate team, and theatre and dance groups)
need the approval of the department chair or school director. Athletic clubs
and organizations, such as Strutters and cheer teams, need the approval of
their director or coach. Organizations that report to the Dean of Students office, need the approval of the dean of Students.
Cabinet
Officer Signature _____________________________ Date _______________
Clubs
and organizations that originate in an academic unit (i.e., music ensembles,
choral groups, debate team, and theatre and dance
groups) need the signature of the provost. Athletic clubs and organizations, such
as Strutters and cheer teams, need the signature of the director of the
Department of Athletics or coach. Organizations that report to the Dean of
Students office, need the signature of the vice
president for Student Affairs.