EmailMe Form - 2021/2022 Club & Organization Travel Form

This form must be completed and returned to the Student Activities Office TWO WEEKS prior to the departure date of the trip.

Failure to submit this form may result in disciplinary action for the club.

Club/Organization: *

Trip Contact Person: *

Trip Contact Phone #: *

### - ### - ####

Trip Destination: *

Number of People Traveling: *

*Waivers MUST be submitted prior to trip*

Departure Date

MM / DD / YYYY

Return Date

MM / DD / YYYY

Purpose of Travel: *

Name of Trip, Competition, Meeting, Community Service, Conference or Other: *

Funding Source(s): *

Budget

Special

Other

Transportation & Vehicle Information: Please indicate all method(s) of travel: *

Bus/Motor Coach

Airline

Personal Vehicle

Rental

*If renting a vehicle, group must purchase all additional insurance coverage available as well as present a LHU SAS, Inc. purchase order to reserve the vehicle*

Driver Information: *

List all drivers for personal and/or rental vehicles.

Attach Participant List *

President Signature: *

Please type your name in the space provided, click save & resume, copy the emailmeform link provided in the data window and email to the Treasurer.

Treasurer Signature: *

Please type your name in the space provided, click save & resume, copy the emailmeform link provided in the data window and email to the Advisor:

Advisor Signature: *

Please type your name in the space provided, click SUBMIT.