Holy Culture Travel Request Form

Holy Culture Travel Request Form

Submit this pre-approval request before booking travel or incurring any expenses.
Traveler Name

First NameLast Name
Traveler Email
example@example.com
Trip/Event Name
Business Purpose / Justification
Destination (City, State/Country)
Travel Start Date

MonthDayYear
Date
Travel End Date

MonthDayYear
Date
Estimated Airfare Cost (USD)
Estimated Lodging Cost (USD)
Estimated Ground Transportation / Mileage Cost (USD)
Either Car Rental, Uber, or Mileage (.72 per mile).
Estimated Other Costs (USD)
Total Estimated Costs
Preferred Advance Payment Method
Zelle Phone Number or Email
Venmo Username
PayPal Email Address
example@example.com
Bank Name
Account Number
Routing Number
Account Holder Name

First NameLast Name
Mailing Address for Check

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Per policy, airline arrangements must be made at least 4 weeks (domestic) or 6 weeks (international) prior to travel to secure optimal fares. Please submit this request with enough lead time to meet that window. If this request is being submitted with less notice due to an urgent business need, explain the justification above.
This request will be reviewed by the CEO (James Rosseau). Do not book travel or incur any expenses until you receive written approval via email. Once approved, note the approval date on your post-trip Travel Reimbursement Form in the 'CEO Approval Reference' field.
CEO Notes/Conditions
CEO Approval Date

MonthDayYear
Date
Type a question
Should be Empty: