BUS TRIP REQUEST FORM

Persons who wish to use the IUK Bus must be: 1) An employee or agent of the University, 2) a recognized student group with an active student group account, 3) a recognized university athletic team, 4) a group of students traveling on departmental account whose vehicle use has been approved by a faculty member or approved administrative officer.  The purpose of all travel must be in the furtherance of educational or group objectives. 

Date Needed:

Time Needed:

         AM PM

Date to Return:

Time to Return:

          AM  PM

Name

Department/Organization

Email Address

Phone No

Name

Email

License No./State

Exp Date

Phone No

1

2

All drivers must be 21 years of age, possess an appropriate US or Canadian CDL driver’s license, be registered with the IUK Human Resources Dept., comply with all license restrictions, and obey all traffic laws.  Drivers may NOT while operating a vehicle: 1) allow anyone who is not an approved IUK driver to operate the bus, operate a vehicle when ability to drive is impaired by alcohol or drugs, 3) transport or consume alcoholic beverages or illegally controlled substances, 4) smoke or use tobacco products or allow passengers to smoke or use tobacco products.

Destination (Building)      

Number in Group

Number of Students in Group

(Street Address)      

(City, State)       

Organization Name

Account To Be Billed

Organization Contact

Title of Account

Contact Email

Sub Account or Object Code

Purpose of Trip

Account Manager

Name

Email

Department

Position

Phone No

1

2

3

4

An Approved University Employee must accompany every student group.  An “approved university employee” is a full time employee, Associate Instructor or higher, a coach employed by the Athletics department, or an Adjunct Faculty member.