Arrival and Departure
Long-Term Programs
Secure On-Line Submission Form
Who should complete this form: This form should be completed only by those students who have been accepted in writing into one of the semester (or longer) programs of Jerusalem University College. If you have trouble sending the form you may e-mail the information to:
Please Note: If you have already submitted the Arrival and Departure Information sheet from one of the student manuals, either by fax, e-mail or letter, you do not need to submit this form.
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Personal Information
Today's Date:                   (MM/DD/CEYY)
Program or Semester Date:       
First Name:                      Middle Initial:
Last Name:                      
Phone Number:                   
E-mail Address:                 

Arrival in Israel Information (please see note below)
Date of Arrival in Israel:      
Airline and Flight Number:      
Arrival Time at the Airport:    
Indicate Arrival AM or PM:    		 AM 	PM

Departure from Israel Information (please see note below)
Date of Return Flight:		
Airline and Flight Number:      
Departure Time From the Airport:
Indicate Departure AM or PM:    	AM 	PM

Long-Term Students Please Note: If you arrive other than the specified arrival date for your semester, you will be required to obtain your own off campus housing and meals at your own expense until the campus opens.  No early or late arrivals are allowed for on campus housing - no exceptions.

Enter any other information relevant to your arrival or departure in the text window:
Instructions for Submission
 1) Please review your information before submitting.
2) Click the "submit" button only once.
3) A new screen will appear confirming what has been sent which
you may print out as a record of your submission.

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Last updated on Tuesday, June 05, 2018
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