International Programs and Services - Travel Itinerary Form

Itinerary Form

This form will let International Programs and Services (IPS) know when you're arriving and whether you would like to be picked up from the airport or bus stop. IPS Pickup is for new Michigan Tech international students. There are also print, Arabic and Chinese versions of this form here.

Fill out the form and make sure to press the submit button at the bottom of the page.

Personal Information

First Name (Given Name):

Last Name (Family Name):

Gender: Male Female

MTU ID (M-Number):

Enrollment Level:

E-mail address:

Date of birth (Month/Day/Year):

Current Address:

Country:

Document Information
Visa Type: Visa Number: Date Recieved:

Passport Number:

Travel/Flight information

Method of Transportation Other:

Date of Arrival (in Houghton/Hancock(CMX)):

Time of Arrival:

Flight Number:

Number of dependents or others coming with you(children/spouse or parent(s)):

Number of luggage items (How Many Total Suitcases?):

Would you liked to be picked up from the (CMX) airport or bus stop?

Have you applied for housing? If no please explain :

Other Information?

Press the "Submit" button below to submit your application, or "Reset" to start over:

Contact Information

Itinerary Form