Name

This field is for validation purposes and should be left unchanged.

About the Trip

Tell us which college-sponsored trip you will be attending.

Club or Organization Name(Required)

Select the club or organization sponsoring this trip.

Other Club or Organization

Enter the full name of the club or organization sponsoring the trip.

Advisor Name(Required)

First Last

Advisor Email(Required)

Trip or Event Name(Required)

Enter the official name of the conference, competition, retreat, service project, performance, or other activity you will be attending.

Destination(Required)

Enter the city, state, venue, or primary destination for the trip.

Departure Date(Required)

Select the date you are scheduled to leave for the trip.

Expected Return Date(Required)

Select the date you are scheduled to return.

Is this an overnight trip?(Required)

Yes

No

Number of Overnight Stays

Enter the total number of nights you expect to be away.

Please enter a number greater than or equal to 1.

Your Information

Provide your current contact information so trip leaders can communicate with you before and during the trip.

Student Name(Required)

First Last

SUNY Niagara Student ID Number(Required)

Enter your SUNY Niagara student identification number.

SUNY Niagara Email Address(Required)

Enter your official SUNY Niagara student email address.

Cell Phone Number(Required)

Enter the phone number where you can be reached before and during the trip.

Preferred Method of Contact During the Trip(Required)

Select the best way for a trip leader to reach you if plans or instructions change.

Phone call

Text message

Email

Date of Birth(Required)

Your date of birth may be needed for travel arrangements, lodging, emergency response, or participation requirements.

Will you be at least 18 years old on the departure date?

Students under the age of 18 may be required to submit additional parent or legal guardian authorization before participating.

Yes

No

Because you will be under the age of 18 when the trip begins, additional authorization from a parent or legal guardian may be required. A staff member from the Center for Student Engagement & Leadership Innovation will contact you with any necessary next steps.

Residential Status(Required)

This information can assist staff in coordinating departure and return arrangements.

I live in the Student Housing Village.

I live off campus.

Other

Other Residential Status(Required)

Emergency Contact

Provide information for someone who can be contacted if an emergency occurs during the trip. Your emergency contact should be an adult who is not traveling with the group and who is likely to be available during the travel dates.

Emergency Contact Name

First Last

Relationship to You(Required)

Other Relationship(Required)

Primary Phone Number(Required)

Enter the best number to use if your emergency contact needs to be reached.

Alternate Phone Number

Provide another number where your emergency contact may be reached, if available.

Emergency Contact Email Address

Enter your emergency contact’s email address, if available.

Emergency Contact Address

Provide your emergency contact’s current mailing address.

Street Address City State / Province / Region ZIP / Postal Code Country

Final Review and Signature

Review your responses before submitting. By signing below, you confirm that the information you provided is accurate and that you understand the expectations associated with college-sponsored travel.

Additional Information

Share any additional information that trip leaders should know before departure, including scheduling concerns, transportation questions, emergency considerations, or other relevant details.

Electronic Signature(Required)

Type your full legal name exactly as it appears in the Student Name field. By entering your name, you are electronically signing this form and confirming your agreement with the statements above.

Date(Required)

Submitting this form does not guarantee approval to participate. Students must meet all trip requirements, deadlines, conduct expectations, and eligibility standards established by SUNY Niagara and the sponsoring club or organization. Please select Submit Travel Form only once. You will receive a confirmation after your form has been successfully submitted.

CAPTCHA

Club & Organization Student Travel Participation

About the Trip

Your Information

Emergency Contact

Health, Safety, and Accessibility Information

Student Travel Expectations

Final Review and Signature