Attachment I

 

 

REQUEST TO TRAVEL OFF CAMPUS

 

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___________

 

Liability Release 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:

 

 

 

 

 

 

 

 

 

Signature______________________________________________