Student Life & Activities Class Off-Campus Travel Proposal

Faculty/Instructors may utilize this form to propose travel for their academic class. All class travel proposals will be reviewed by the Student Life Board for approval consideration.
Class Details(Required)
Faculty/Instructor Name(Required)
MM slash DD slash YYYY
Trip Start Time(Required)
:
MM slash DD slash YYYY
Trip End Time(Required)
:
Trip Chaperone(Required)
Additonal Trip Chaperone (If Applicable)
Who May Attend This Trip?(Required)
Contact Person From Outside Agency
Facility Address(Required)
You can also upload this information as a separate document at the end of this form
Travel Arrangements(Required)
Please Note How Many and What Type of Room accommodations you Need: (ie, 2 doubles, or 1 single, 2 triples)
Do you need a Cash Advance to travel?(Required)
Please Note: cash advances are only available to Brookdale Employees, can take up to six weeks to process before a trip, and must be returned within five business days after a trip with itemized receipts.

Names of Students Participating (including name and phone number of emergency contact for each)

Name
Name
Name
Name
Name
Name
Name
Name
Name
Name
Max. file size: 50 MB.
Please visit www.gsa.gov for per diem rates
Number above times number of students participating
Student Life & Activities will fund one chaperone for every ten students travelling.
Please visit www.gsa.gov for per diem rates
Number above times number of chaperones participating
Will you be applying to the SLB Finance Committee for funding?(Required)
$1.00 - $3500.00=60% funded by ASBCC; $3501-$7000.00=40% funded by ASBCC; more then $7000.00=$2800.00 funded by ASBCC. Please note, if requesting funding assistance from the SLB Finance Committee, proposals must be submitted with at least 2 full weeks prior to event date for consideration.
Max. file size: 50 MB.
This field is for validation purposes and should be left unchanged.