Foreign Travel Request

1Personal

2Schedule

3Travelers

4Emergency

5For office use only

The purpose of this form is to request approval for any trips outside of your country of residence
– ensuring that your trip complies with the WELS travel policy (SC0050) and the WELS Foreign Travel Insurance policies.
Trip name*
Enter a trip name that you may reference when filling out this form throughout the year to help you to easily identify which trip has been approved. Do NOT include destination or dates for security reasons.
Personal Information
A field marked with a red asterisk is required.
Primary traveler*
Prefix First Last
Primary traveler is a*
Employee: WELS/School employee
Student: Student at MLC or WLS traveling for educational purposes
Chaperone: A chaperone for a school sponsored trip
Volunteer: all other travelers
Area of ministry / school*
An e-mail notification will be sent to the area of ministry administrator or school business manager for approval.
Other*
Include your area of ministry or school.
Mailing address*
Address line 1 Address line 2 City State/Province Zip/Postal code Country
E-mail*
Enter Email Confirm Email
Cell phone*
Phone options*
Select ALL that apply.
- You may send TEXT messages to this number.
- You may send via Whats App to this number.
- You may voice call this number.
- You may ONLY voice call this number.
- Cell plan includes international coverage.
Is this a school sponsored group trip?*
- Yes
- No
List all participants attending / traveling.*
Select (+) to add a new row.

Emergency Contact Information
Emergency contact name*
First Last
Relationship*
Address
Address line 1 Address line 2 City State/Province Zip/Postal code Country
E-mail*
Phone*
Phone options*
Select ALL that apply.
- You may send TEXT messages to this number.
- You may send via Whats App to this number.
- You may voice call this number.
- You may ONLY voice call this number.
Data Privacy & Permission*
I AGREE with the terms of the WELS Privacy Policy.
NOTE TO EU CITIZENS, RESIDENTS, TOURISTS, AND OTHER PERSONS TEMPORARILY IN THE EU:

By submitting this form you consent to any and all information you provide and submit via the site being sent to the United States of America. The United States has not sought nor received a finding of “adequacy” from the European Union under Article 45 of the GDPR. WELS relies on derogations for specific situations as set forth in Article 49 of the GDPR. You are also informed that the United States presently does not have an adequate level of personal data protection as determined by the European Commission’s adequacy decision on October 6, 2015 (case c-362/14) and articulated in the European Union’s General Data Protection Regulation and has not received a similar designation of adequacy by any other foreign data protection authority. You agree to the transfer of your data and personal data to the United States, however, to be used in accordance with WELS Privacy Policy.
FOR OFFICE USE ONLY - Enter office code
Please click submit for approval for your administrator to look over and approve

WELS Risk Management: [email protected] | Privacy policy
Ref: Foreign Travel Insurance Request

From date (mm/dd/yyyy)	To date (mm/dd/yyyy)	Country	City	Purpose

Name	Traveler is