Travel Form

You have requested a College vehicle.
Please be aware that you are responsible for all passengers traveling in this vehicle.
Please make sure all passengers are wearing the available seat belts.

College vans have a maximum capacity of 10 passengers

General Information:

*Required Fields

Supervisor's Email Address: * Select from the list Chris Baker Jennifer Bernatis James Blevins Alyssa Bliven Lindsey Bogner Patrick Busch Jennifer Christiansen Tana Cooper Lori Crowther Mark Dean Ronnie Dean Jonathan Dietz Renee Demel Mary Doyle Erin Eggers Chris Elliott Kelsey Feist Melissa Feist Mary Foley Larissa Graham Karen Gunther Kelsey Hall Maggie Harris Carl Heilman Pamela Henning Jenna Hoffman Sara Hoff Linn Hogg Brian Howe Darren Ivey Judy Jacobs Stephanie Joiner Kent Knaple Cecelia Knowles Kathy Kottas Raymond Kruse Nicholas Larmer Angie Maddy Claudia Mather Todd Mobray Todd Moore Cecelia Nicolet Amy Oelke Myrna Perkins Trevor Rolfs Elaine Simmons Renae Skelton Lucas Stoelting Laura Stutzman Zachary Bauman
(This will be forwarded to your supervisor. Please verify that your supervisor then sends it to Facility Management with their approval)

Name: *

Departure Date (date you will pick up vehicle from fleet lot): *

Departure Time (actual time you will pick up vehicle): *

Return Date (date you will return vehicle): *

Return Time (actual time you will return vehicle to fleet lot): *

Destination:

Purpose:

Will students be traveling overnight on this trip (Y/N): * Yes No

Dollar amount of Student Advance:

Barton ID Number: *

Date Student Advance Needed (pick up from Business Office):

Number Traveling:

ORG #: *

Comments:

Vehicle Type: 10-Passenger Van Car Private Vehicle Charter Bus

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