Page 1 of 3 Traveler InformationIf you have any questions pertaining to registering your travel, please reach out to the International Risk Control Coordinator at 940.369.6154. Title - None -Dr. First Name * Last Name, Middle Name * Primary Email Address * Alternative Email Primary Phone Number Numbers Only (No punctuation marks) Classification * - Select -FacultyGraduate StudentGuestStaffUndergraduate Student Gender * - Select -MaleFemaleOther System Affiliation * - Select -UNTUNT DallasUNT SystemUNT HSCUNT Dallas College of Law Department * Please list the department you are traveling on the behalf of. Was this registration completed by someone other than the traveler? * - Select -YESNO Prepared By Prepared By Email Purpose of Travel Please select the type(s) of travel you are participating in: * Academic/Study Competition/Performance Conference/Meeting Faculty Development Leave Visiting Professor/Lecturer Internship/Work Research Study Abroad Faculty Lead Program Volunteer/Community Service Is any portion of this trip funded by a grant? * - Select -YESNO Select YES if your department will be paying your international travel insurance premium with an IDT. (If applicable) - None -Yes Group Travel Information Will you be traveling along with other UNT registered travelers? * Yes No Group Members If your itineraries match exactly, then one member of the group may register using this form. All other travelers' names, phone numbers (if carrying a phone), email addresses and classifications should be listed below. (ex. John Doe, 214-000-0000, john.doe@my.unt.edu, undergraduate student) Will group members be registering separately * - Select -YESNO Next Page >
