Staff Travel Request Form

Travel Request Information

Name *

Official name exactly as it appears on driver’s license – include middle initial or name if on ID

First Middle Last

Preferred Name *

This name will be used on name tags and other conference documents

First Last

Date of Birth *

Preferred Pronouns *

Boise State Email Address *

Emergency Contact Name *

First Last

Relationship *

Emergency Contact Phone Number *

Name of Event or Conference *

Location *

Scheduled Event Date(s) *

Preferred Leave Date and Time *

Preferred Return Date and Time *

Registration Fees for Conference or Event *

Deadline Date for Conference Rate

Will you Travel: *

Food Allergies

Food Preferences

E.g. vegetarian, vegan, etc.

Hotel Name

During travel, please make a note or take a photo of your room number. You will need to provide this information upon your return.

Hotel Check-in Date

Hotel Check-out Date

Preferred Travel Method *

Frequent Flyer Number

Please include both Airline and number

Preferred Time of Day to Travel *

Will you be Adding on Personal Days? *