Campus Organization Requested___________________________________________
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_____________________
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________
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?
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.