Student Travel Form

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2009 Interactive Student Travel Form
2009 Interactive Student Travel Form
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Information to the Dean of Students' Office is needed for travel outside Boone that involves an overnight stay for students. The information is for emergency contact only.

Faculty and staff taking students on field trips or other excursions need to provide to the Dean of Students a list of student participants BEFORE the class trip. This list is solely for informational purposes, enabling the University to determine the identities of participants in case of emergency. Providing such a list does NOT trigger insurance coverage of any kind.

Information requested:
1. Name of organization, class or activity
2. Departure and return date and approximate return time
3. Destination
4. Contact name (faculty sponsor or advisor accompanying
students)
5. Contact e-mail and telephone number
6. Name of each student with ASU e-mail address (initials
and numbers)

The completed information should be sent to:
Erica D. Tate
Office of Student Development
109 BB Dougherty Administration building
or fax to 262-2615
or e-mail to tateed@appstate.edu