Traveler Information Form Traveler Information Please help keep records for travel up to date! Name*Please enter your **FULL LEGAL NAME** exactly as it appears on your government issued ID/ Driver’s License First Middle Last Email* Department*AVP for Enrollment ManagementAdmissionsDual EnrollmentEnrollment Student CommunicationsFinancial Aid & ScholarshipsSummer SessionWhich of the following modes of transportation will you use?*Please select all that apply. Select All Personal Vehicle Flights Rental Vehicle (e.g. Enterprise) Leased Vehicle (DES Motor Pool) Other (please describe below) Other*Please enter the additional form of transportationHome Address*This will be used for calculating mileage when necessary Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Date of Birth*Required for reserving flights. Month Day Year Cell Phone Number*Required for flight and vehicle reservations.Flight Seating Preference*Please select your seating preference (every effort will be made to accommodate your request; dependent upon availability) Window Aisle Middle (when available) Driver's License Number*Will be used to locate rental agreements and receipts when necessary.Driver's License Date of Expiration* MM slash DD slash YYYY Δ
