ULM STUDENT ACKNOWLEDGEMENT OF RULES
FOR DOMESTIC AND INTERNATIONAL TRAVEL

By signing below, I acknowledge that as a participant in 		(name of event) at 	(location of event), on 	(date of event) I must follow all ULM Student Rules and Policies, and abide by all Federal, State         and Local laws.

Additionally, by signing below I agree not to possess or consume alcoholic beverages while
Traveling to and from	this Department of                       	event or Student Organization sponsored event. I further understand that if I choose to possess or use illegal drugs at any time during this event, I will be asked by staff on duty to leave the function and will be charged with a violation of the ULM drug policy.

While at a Department of 	or Student Organization sponsored
event, I realize that all ULM Student Rules and Policies will be enforced by the staff on duty.      I further understand that my involvement in a Student Code of Conduct or criminal law violation will result in one or more of the following:

•	Documentation
•	Disciplinary action (including dismissal from the university)
•	Being sent home immediately at my expense

I agree to represent the Department of 	 or Student Organization and the University of Louisiana at Monroe to the best of my ability by behaving in an appropriate manner and adhering to all ULM Student Rules and Policies, and all International, Federal, State and Local laws.

Attach additional page(s) of names and CWID if necessary
PRINT NAME	SIGNATURE	CWID	PHONE	

				

				

				

				

				

				

A completed COPY of this form along with the ULM Student Travel Form is to be sent to the VP for Student Affairs.

Domestic & International Travel							Revised 4/2026 – Student Life – DD