Transportation Form w/ Fee

Transportation Form w/Fee

This form is to schedule a trip outside of the pre-approved travel dates that are located online and in each student's acceptance package
Student Information
Student Name:

First NameLast Name
Program
Student Phone Number:
ex: 123-456-7890
Student Email:
Parent Name:

First NameLast Name
Parent Phone Number:
Ex: 123-456-7890
Parent Email:
example@example.com
Arriving/Departing:
Mode of Transportation:
Arrival/Departing Location:
Airline/Bus Line for Arrival/Departure:
Ex: American Airlines, Delta, Greyhound, Megabus. Type "N/A" if only a one-way trip departing from campus.
Flight #/Bus # for Arrival/Departure:
Ex: AA 425. Type "N/A" if only a one-way trip departing from campus..
Flight Time/date:

MonthDayYear
DateHourMinutesAM/PM Option

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One Way Arrival/Departure Fee$50.00

This is the cost of one way transportation for arrivals/depatures outside of the approved program dates.

Unaccompanied minor - additional fee$50.00

Airlines will indicate whether you are an unaccompanied minor. For most, it applies to students under the age of 16. Additional fees are involved due to longer waiting times and logistical impediments

Total $0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Should be Empty:

Transportation Form w/Fee

Student Information

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