Student Group/Club/Organization(Required) Contact Person(Required) First Last Phone(Required)Alternate PhonePurpose of Travel(Required)Detailed reason traveling: game, seminar, conference, etc.How will this trip benefit the University?(Required)Traveling From(Required) Traveling To(Required) Date of Departure(Required) MM slash DD slash YYYY Date of Return(Required) MM slash DD slash YYYY Group Faculty Advisor(Required) First Last Travel Funding Source(Required) Would you like to request direct payment of lodging by the department? No Yes Lodging InformationThe information below is only required if you are requesting direct payment of lodging by the department. (Please request that a credit card authorization form be faxed or emailed) Name/Address(Required) Phone(Required)Location(Required) Confirmation Number(Required) Number of Rooms(Required)Name(s) on the reservation(Required) Room Numbers(Required)Add as many as necessary Add RemoveHidden-------Would you like to request direct payment of a rental car by the department? No Yes Rental Car InformationThe information below is only required if you are requesting direct payment of a rental car by the department.Pickup Date(Required) MM slash DD slash YYYY Pickup Time(Required) Hours : Minutes AM PM AM/PM Pickup Location(Required) Return Date(Required) MM slash DD slash YYYY Return Time(Required) Hours : Minutes AM PM AM/PM Return Location(Required) Number of Vehicles Requested(Required)Type of Vehicle Requested(Required)Add as many as necessary. Add RemoveDriver(s)(Required)Add name an age for each driver. Add as many as necessary.NameAge Add RemoveTravel RosterThe following members will be traveling(Required)Please add all membersNameUFID #Email AddressRequire Reimbursement? Y or N Add RemoveCAPTCHA
