Arrival and Departure
Short-Term Students
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 short-term 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.
Secure Server Certificate Stamp: Link to Thawte This web site is secured using a GlobalSign Digital Certificate ensuring that all information you send to us will be encrypted.

Please view our privacy policy for further information.

Personal Information
Today's Date:                   (MM/DD/CEYY)
Short-Term Program Name:	
Program Dates:			
First Name:                      Middle Initial:
Last Name:                      
Phone Number:                   
E-mail Address:                 

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

Short-Term Students Please Note: Short-Term students must arrive at the university on the specified arrival date (first program date indicated in the brochure for your program), between 7:00am and 12:00 midnight and must depart Israel on the specified departure date (last program date indicated in the brochure for your program).

If your arrival or departure dates are other than those specified by Jerusalem University College for the arrival and departure for your program, you must secure your own accommodations for those dates.

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.

Optimized for 800 x 600 screen resolution in true color.
Java enabled for Internet Explorer 3.0 & above.
To offer comments about this site:
Last updated on Tuesday, June 05, 2018
Copyright © 1999 Jerusalem University College. All rights reserved.