Traveler's Legal Name * Enter your full name as it should appear on your traveling document Date of Birth * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year1940194119421943194419451946194719481949195019511952195319541955195619571958195919601961196219631964196519661967196819691970197119721973197419751976197719781979198019811982198319841985198619871988198919901991199219931994199519961997199819992000 Date of Birth is required by airlines to make a reservation. Rapid Rewards # TSA Number Cell phone number * Cell phone number is mandatory for flight change notifications. Email address * We need your valid email address to send you a confirmation. Meeting Name * Outbound Flight Information From Enter outbound flight origin (LAX, SMF, ONT...) To Outbound Flight Date Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20202021 Enter the date of your outbound flight Flight Time Hour Hour123456789101112 : Minute Minute000510152025303540455055 am pm Enter outbound flight time Flight Number Return Flight Information From Enter return flight origin (LAX, SMF, ONT...) To Inbound Flight Date Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20202021 Enter return flight date Flight Time Hour Hour123456789101112 : Minute Minute000510152025303540455055 am pm Enter return flight time Flight Number Other Reservations (If Needed) Hotel Prior approval needed. Rental Car Prior approval needed. Conference Registration If you need to be registered for a conference, please include the direct weblink to the registration page here. Notes By submitting this request for travel in an official capacity for the Academic Senate for California Community Colleges (ASCCC), I acknowledge that non-refundable travel arrangements may be made. I also acknowledge that I may be financially responsible for any costs due to updates, time changes or cancellations not initiated by the ASCCC. You can always make your own travel and lodging arrangements. However, please note that the Academic Senate will only reimburse you for the amount of the most economical means of transportation and lodging. Submission of request within two weeks of travel date cannot be guaranteed. CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
