TCU Travel Registration

TCU Faculty & Staff Travel Registration

Please provide your classification, personal details, and academic unit information below.
Destination and Dates of Travel. Please add rows for each destination and travel dates for each leg of travel. *
Classification
FacultyStaffStudentGuest
Personal Information
Legal First Name*
Legal Last Name*
Phone #*
TCU Email Address*
TCU ID #*
Academic College or Unit
Academic AffairsAddRan College of Liberal ArtsAnne Burnett Marion School of MedicineAthleticsBob Schieffer College of CommunicationBrite Divinity SchoolCollege of EducationCollege of Fine ArtsFinance & AdministrationHarris College of Nursing & Health SciencesHuman ResourcesJohn V. Roach Honors CollegeLouise Dilworth Davis - College of Science & EngineeringMarketing & CommunicationNeeley School of BusinessOffice of the ChancellorStudent AffairsTechnologyUniversity of Advancement
RecruitmentResearch or creative activityConference or meetingTeaching or trainingTeam travelTravel with Students (research, conference, or program)Other
Leading a student program, such as study abroadOrganizing a research opportunity for studentsStudents are attending the same conferenceOther
Description of travel(In a sentence or two, please describe the nature of your travel)*
Supervisor's name for approval*
Passport Country Please indicate the country issuing your passport for this travel*
TCU Laptop or phoneTCU Equipment (For research purposes)TCU Equipment (Drones, Audio visual devices, etc.)Research Specimens, samples or similarI will not be taking TCU issued or supported equipment with meOther
CubaIranNorth KoreaSudanSyriaBelarusBurmaChinaPakistanRussiaTaiwanHong KongSingaporeUnited Arab EmiratesNone of these
Emergency Contact 1 Name (First & Last)*
Emergency Contact Relationship*
Emergency Contact Phone*
Emergency Contact Email*
example@example.com
Emergency Contact 2 Name (First & Last)
Emergency Contact Relationship
Emergency Contact Phone
Emergency Contact Email
example@example.com
On Call Acknowledgement
On Call International is TCU's medical and travel assistance plan, providing security assistance before and during your planned itinerary. For more information, visit TCU Global's Website. NOTE: Our On Call insurance policy contains certain exclusions such as participation in hazardous activities (skydiving, scooter rental, etc) and coverage in your home country (for those with citizenship in outside of the U.S.). The full policy is available upon request. Please acknowledge that you have received this information by clicking "Yes" below.*

YesNo
Confirmation and Acknowledgement of Risks - International Faculty & Staff
Before completing this questionnaire, access and carefully read the relevant Country Reports.

Reports can be accessed at this Box link:

https://tcu.app.box.com/folder/136906382114?v=OnCall-CountryReports1)

1. I've read the On Call Country Report for my travel destination/s and understand the information.

2. I agree to adhere to all recommendations in the On Call Country Report.

3. I am personally comfortable with risks associated with my travel.

In addition to the risks identified in the country report, I acknowledge that, more generally, activities, events, and transportation associated with travel may expose me to hazards and risks that may result in my personal or bodily injury, illness or death, and/or loss or damage of property.
Signature*
Should be Empty:

TCU Faculty & Staff Travel Registration

Classification

Personal Information

Academic College or Unit

On Call Acknowledgement

Confirmation and Acknowledgement of Risks - International Faculty & Staff