Flight Reservation Information

Flight Reservation Information

In order for administration to book flights on your behalf, please complete the required information. Please reach out to Amanda Fortune anf6v@virginia.edu with any questions.

Name (First, Middle, Last)*

Your ticket will be issued using the name provided. TSA regulations require that the name of the ticket must match the name on identification presented (e.g. drivers license, passport), incluing middle initial or middle name. To avoid issues at the gate or creating unusable tickets, please ensure to enter your name EXACTLY how it appears on your passport or government issued ID being used for travel.

Computing ID/email:*

Mobile Phone Number:*

Pyhsical Address:*

Street, City, Zip Code

Gender:*

Select

Date of Birth:*

MM/DD/YY

Passport Number:

Passport Expiration Date

MM/DD/YY

Passport Issuing Country

Citizen of Country

Known Traveler Number (KTN)

Group Name/Activity*

(e.g. Clark, NSBE, SHPE, SWE)

Group Travel?*

If booking for Clark Study Abroad please select 'no". Please select "yes" if planning to travel with a group of 10 more students all leaving the same departure city and arriving at the same destination city. We will work with your groups leadership executives to identify ideal departure and arrival times for the group. No additional informaiton is required at this time you may submit the form.

Select or enter value

Itinerary Selection*

Round-trip: flight from starting destination is the same as return. (Depart from Point A to Point B. Return from Point B to Point A)

One-way: only covers one of those segments/legs

Multi-City: an itinerary that goes from Point A to Point B and on to Point C.

Round-trip

One-way

Multi-city

Preferred Departure Date*

Please select your preferred departure date

Departure Time (preference)

Select or enter value

Departure City/Airport Code*

Select or enter value

Destination City/Airport Code*

Select or enter value

Preferred Return Date:*

Please select your preferred return date here.

Return Time (preference):

Select or enter value

Return Flight Departure City (NEW)*

Select or enter value

Return Flight Destination City (NEW)*

Select or enter value

Additional Relevant Travel Information:

Please include any relevant travel information in the below text box i.e., preferred flight numbers, non-stop flight preferred, preferred seating (middle, aisle, or window), Delta, United, Southwest, American Airlines loyalty program #'s, etc.)

File Upload

Please feel free to upload any screen grabs of preferred flights, etc, here.

Drag and drop files here or

Send me a copy of my responses

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