/Student Travel Request

Student Travel Request

First Name

Last Name

Year in School

College/Professional School

Major

Travel Destination(s)

From Date

To Date

Please explain why the activity can not be conducted remotely

Summarize how this trip will support progress towards your degree

Receipt of academic credit for the internship/research

Yes

Vaccination Status

Fully Vaccinated

Partially Vaccinated

Not Vaccinated

Summary of how the trip is related to COVID-19 or other pressing public health matters

Description of travel risks and mitigation

Letter of support from a faculty advisor or mentor

Choose File

Approval by the dean of your school that you are submitting this request

Choose File

Choose File

Proposed travel itinerary detailing the travel route

Choose File

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