CUA Travel Registry
This form is for use by CUA faculty, staff, individual students, and special guests who will be traveling internationally for university-related purposes. This may include research, conferences, collaborations, meetings, site visits, and other purposes. Submission of this form will enroll the traveler in a confidential databases managed by the Center for Global Education. The Registry is the official and authoritative source of international traveler information that forms the basis for the University’s emergency response protocols and communications strategy (e.g., alerts, warnings, evacuation notices) when responding to an emergency or critical incident abroad.

Information included in the form will also be used to enroll the traveler in CUA's mandatory international insurance and emergency evacuation policy. It should be noted, however, that upon receipt of an invoice it is ultimately the responsibility of the traveler to arrange for payment of the insurance, whether that is individually or through a university office or department. For insurance costs and details, contact the Center for Global Education.

All travelers should first ensure that their proposed travel plans have been approved by the appropriate authority within their school or unit. Submission of this form and procurement of insurance do not of themselves constitute university approval to travel. Travel to High-Risk Locations may be referred to the provost for further review, and the Center for Global Education may assist in providing additional country safety information.

Email address
First Name
Your answer
Last Name
Your answer
Date of Birth
MM
/
DD
/
YYYY
Gender
Required
Country of Citizenship
If a traveler possesses multiple citizenships, all should be listed.
Your answer
Status
Required
Name of Associated CUA Faculty/Staff Member
(for spouses and dependents only)
Your answer
CUA Office or Department Name
Your answer
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