Voucher Reimbursement Request

First Name (Student)

Last Name (Student)

Mailing Address

Country

Street

City

Region

Postal Code

Home Phone Number

Cell Phone Number

Email Address

Birthdate

Date of your personal campus visit or open house event?

Voucher Qualifications

Please review the qualification below to confirm you qualify for a travel voucher:

Registered for a personal campus visit or a fall/spring open house
Traveling more than 300 miles from home address one way to main campus
Be a sophomore, junior or senior in high school or homeschool equivalent

I have read the qualifications and I qualify for a travel voucher

Voucher Details

Please review the voucher details below:

Following the approved campus visit, Waynesburg University will reimburse up to $200 of travel costs based on receipts or mileage provided (meals will not be considered). Once you receive the reimbursement check, it must be cashed within 90 days of the date on the check.
Vouchers are not a guarantee of admission to Waynesburg
Vouchers may only be used once - no additional vouchers will be offered on return trips

I have read the voucher details stated above

Travel Voucher Procedures

Hotel Receipts

Hotel receipts must include the name and location of the hotel; the dates you stayed at the hotel; and separate amounts for lodging, meals, telephone calls, and other expenses. Only the lodging amount will be considered for the travel voucher.

Travel Cost Tracking

Travel costs documentation should include the cost of each separate expense for gas, tolls, airfare and lodging; the dates you left and returned for the trip, the name of the city, town, or other designation and the mileage incurred while traveling. Gasoline receipts should include the location and date. Google maps should be used to document mileage requests. NOTE: The mileage reimbursement rate for the 2023-2024 year is $0.655 per mile.

This information is required not only as University policy, but also by the Internal Revenue Service. Therefore, we are unable to provide reimbursement without it.

I have read the above Travel Reimbursement Procedures and understand I must provide the documentation in the format indicated above to the Office of Admissions within 48 hours of my visit to qualify for a travel voucher. If I do not attend my scheduled visit, no voucher will be issued.

Signature

By typing my name, I am verifying I understand the travel voucher process outlined above and I am requesting travel reimbursement.