Student Travel Form
Below please provide a brief decription of the purpose of the trip or the case you are working on and trip activites along with the goals of each.
Please submit a detailed itinerary, including flight information (airline, flight number, departure and arrival times and locations) hotel information (name, dates, phone numbers, website/email address) and any other information, including planned day trips with modes of transportation and locations once you have completed this form. Please also submit a copy of your passport in case it is lost or stolen to Student Services, the Clinic Office or SJI. Upon your return, you will retrieve this copy from the office.
Emergency Contact Information