Transit Stipend Request Form

Transit Stipend Request Form

These are issued only to cover expenses for students who must use public transportation to get from their accommodations to their classes, or for any travel as part of a course requirement. In some instances (especially in London or other large cities), taking public transportation does not expedite a student's journey to and from classes, in which case a stipend will not be issued.
Name *

First Name Last Name
Email *
99 Number *
Current Address *

Street Address

Street Address Line 2

City

Postal / Zip Code Country
Program Start Date *

Month Day Year
Date
Program End Date *

Month Day Year
Date
Term Break Start Date *

Month Day Year
Date
Term Break End Date *

Month Day Year
Date
Number of weeks in the term/semester, less breaks *
Does your program/host institution offer any assistance with transportation costs? *
Do you have the option of obtaining a monthly pass or student discount? *
If yes, please give details:
What mode of transportation will you be taking (bus, subway, bike rental)? *
Please provide the details of your details of your commute (i.e. amount of time it takes to walk vs. taking public transportation, any additional course requirements that involve transportation, class schedule (frequency, night classes)). *
How much money (in local currency) will you spend each week? *
How much money (in US dollars) will you spend each week? *
Total amount (in US dollars) requested *
Is there any additional information that should be taken into consideration regarding this request?
Should be Empty: