Brigham Young University - Idaho
Overnight Student Travel Authorization

 
Trip Name:__________________________________________   Request Date:______________
Director's Name: ________________________  Phone# ________  Director's ID# ____________
Other Employee Advisors/Supervisors:  ______________________________________________
______________________________________________________________________________
Purpose/Benefits of Travel:  ________________________________________________________
_______________________________________________________________________________
Travel Dates:  ___________ to ___________          Required Academic Travel:    Y     N
Destinations:  ____________________________________________________________________
Type of Overnight Accommodations: _________________________________________________
Means of Transportation:  __________________________________________________________
Authorized Drivers:  ______________________________________________________________
Estimated:  Number of Students:  ____  Cost per Student: __________  Total Cost:  ____________
Comments:  _____________________________________________________________________
_______________________________________________________________________________

Account #  ________________________  TA# _________________
Charges per student other than class fee:  _________________
Other Sources of Funding:  _________________________________________________________
________________________________________________________________________________

I have read and will comply with the BYU-Idaho Student Travel Policy and all related procedures
Director's Signature:  _____________________
Approval: 
Account Custodian or Supervisor:  ___________________________  Date:  __________________
(Send to Vice President or Vice President Designee for approval)
Vice Pres. Designee: ______________________________________  Date:  __________________