International Travel Registration for Faculty and Staff

Please fill out the form below and visit the International Travel page for more details on this process. If you are traveling to Puerto Rico, enter 0 in the required fields that do not apply to you.

Fields marked with a must be filled out to submit the form.

Contact Information

Emergency Contact Information

Travel Information

Passport Requirement


Destination Information

Please list every country and city that you will visit and include where you will be staying at each location.


Program Destination 1

Program Destination 2

Program Destination 3

Program Destination 4

Flight Information

Medical / Trip Insurance

Valencia requires medical/trip insurance for all individuals traveling on college business. The SAGE Office only pays for insurance for previously approved faculty/staff exchange programs.

For all other circumstances, please provide us with an index number to charge OR you must pay out-of-pocket at the business office. Contact the SAGE office once your payment has been made.
*By submitting this form, you are agreeing to the following:


Classes (faculty only)
Will participation in this conference require you to miss any scheduled classes?
If yes, have you received dean approval?

Safety
Do any of the countries you intend to visit have current travel advisories with the U.S. Department of State?