School of Nursing - Authorization for Travel
To request a University vehicle, fill out the Vehicle Request Form.

If you will have students accompanying, on trip you must fill out the Student Travel Notice and turn into CN 418.

If you are making a multi-leg trip, please submit multiple forms, one for each leg of the trip. Thank you.

For reoccurring trips (e.g. clinicals) use your first day of travel as your 'Leave Date' and your last day of travel as your 'Return Date' and provide specific dates of travel in the comments section.


Items with an * indicate a required field.
First Name *
Last Name *
BSU ID *
Purpose of Trip *
Be specific. No abbreviations.
Destination *
City and State
Full Name of Conference
Leaving From *
Leave Date *    
Leave Time *
Specify exact time, e.g. 8:00 AM
Arrive Date *    
Arrive Time *
Specify exact time, e.g. 8:00 AM
 
Returning To *
Departing Date *    
Return Date *    
Departing Time *
Specify exact time, e.g. 8:00 AM
Return Time *
Specify exact time, e.g. 8:00 AM
 
Funding

Please select one of the following funding options.
  I have been pre-approved for SoN funding (must have documentation).
Approved Amount
 
  I plan to request travel fund from CAST (not for clinicals).
 
  I have grant funds available for travel.
Grant Name, Number, or Fund Number
 
If requesting mileage reimbursement, input your round-trip mileage here.
Round-trip mileage x $.40
Additional Information / Comments