COVID-19-Student Travel Assistance
Please be sure to fill out all questions.
Please contact
COVID19.Travel@gallaudet.edu
for more questions or concerns.
* Required
Email address
*
Your email
What's is your Gallaudet ID number?
*
Your answer
What is your full name, exactly as it is printed on your identification that you will use to travel with? (State Driver's License, Government ID, Passport Etc)
*
Your answer
What is your birthday?
*
MM
/
DD
/
YYYY
What is your address, exactly as it is printed on your identification that you will use to travel with? (State Driver's License, Government ID, Passport Etc)
*
Your answer
Where is your current location? Please provide the zip code.
*
Your answer
Where do you need to travel to? Please provide the zip code.
*
Your answer
Preferred mode of travel?
*
Bus
Train
Airplane
Other:
Do you require any travel accommodations?
*
Your answer
Who is your emergency contact? (Name and Phone Number)
*
Your answer
What is the best way to contact you? Our team will be using one of these services to setup an individual appointment with you. (Zoom, Google Hangouts, Video Phone) Please let us know which platform is preferred and the contact number/name to use.
*
Your answer
A copy of your responses will be emailed to the address you provided.
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