First Name:

Last Name:

Email:

Group Organization Name:

First Name of Group Advisor:

Last Name of Group Advisor:

Type of Travel:

Field Trip: The university did not own or control the site you visited

School-sponsored trip consisting of only one overnight stay

Other

Funding:

This trip was fully funded by the university

This trip was partially funded by the university

This trip was not funded by the university in any way

The university directly paid for the housing/lodging facility

A student or employee paid for the housing/lodging facility and was reimbursed by the university

How often is this trip repeated:

This was a first-time, one-time trip

Trip is repeated every semester

Trip is repeated annually

Trip is repeated every other year

Other

Start Date:

End Date:

Hotel or Lodging Name:

Address:

Address_2:

City:

State:

Zip:

Country:

Specific floors/room numbers/units occupied:

Lodging check-in date:

Lodging check-out date:

other_areas:

Purpose_of_travel: