Travel preferences
Within the best of our ability, we will attempt to procure flights as close to your requested time as possible. Please note that per the University of Michigan rules, we can only pay for or reimburse for coach/economy class flights.  If you choose to upgrade once the flight is booked, you may arrange for the upgrade at your own expense. In addition, we must comply with the Fly America Act, and can only book or reimburse flights that are booked using a US based carrier.
Sign in to Google to save your progress. Learn more
Email *
First Name *
Middle Name/initial *
Last Name *
Phone number *
Home address: *
Do you have a Delta Skymiles or other frequent flyer account?
Please note that we due to Federal law, we must comply with the Fly America act
Emergency contact information *
Name, relationship, and phone number/email for your emergency contact. i.e. Sandra Smith, spouse 0.1.234.234.7697 ssmith@umich.edu
Name and abbreviation of your preferred local airport *
This is the airport closest to your home or work location
Preferred flight date to come to Ann Arbor *
MM
/
DD
/
YYYY
Preferred departure time *
Required
Seat preference (if available) *
Date of birth for your reservation *
MM
/
DD
/
YYYY
Food restrictions/preferences *
Please let me know so that we can accommodate you. This information will not only be used for potential in-flight meals, but for your whole visit.
Return flight preferred date *
MM
/
DD
/
YYYY
Return flight preferred departure time *
Required
If you are traveling internationally, what is your passport number? *
If not traveling internationally, you can just answer "domestic"
What country was the passport drawn from? *
What is the expiration date of your passport? *
MM
/
DD
/
YYYY
Accessibility statement: We wish to make your visit as welcoming as possible!
Do you have a health concern or require a physical accommodation that we should be aware of, which might impact your flight/ground transportation or hotel stay, or another aspect of your visit? You may answer "none" or "prefer not to disclose" as you see fit.
*
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of University of Michigan.

Does this form look suspicious? Report