ELI Student Arrival Form

Please tell us if your arrival plans change. You can call the office cell phone at 503-758-8545 or email intlprograms@pacificu.edu.

Question 1

Name:
 First:  * Last:  *
Email:
 Email Address:

Question 2

I am Arriving by:
 *

Airplane Information

Flight:
 Airline Name:
Flight Number:
Where (city name) does your flight start?
Transfer:
 Are you changing airplanes? If yes, please list all city names where you change airplanes.

Car Information

Start:
 Where (city name) does your car ride start?
Phone:
 Do you have a cell phone? If so, what is the number?

Bus Information

Bus Ride:
 Bus Line Name:
Where does your bus arrive? (station name):
Where (city name) does your bus ride start?
Transfer:
 Are you changing buses? If yes, where (city name) do you change buses?
Phone:
 Do you have a cell phone? If so, what is the number?

Train Information

train Ride:
 Train Line Name:
Where does your train arrive? (station name):
Where (city name) does your train ride start?
Transfer:
 Are you changing trains? If yes, where (city name) do you change trains?
Phone:
 Do you have a cell phone? If so, what is the number?

Question 3

How many suitcases and boxes will you bring?  *

Question 4

Please choose one of the following options:

Question 5

Arrival Date:  *

Question 6

Arrival Time in Portland (PDT): :  *

Question 7

Please choose one of the following options:
 *


 Fields marked with  * are required.