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Telephone: (301) 816-8991 or (800) 638-8500
Fax: (301) 816-0715
E-Mail: [email protected]

SUMMER STEM SCHOLARSHIP Travel Form

Fields marked with an * are required

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Session Choice

REQUIRED TSA SECURE FLIGHT INFORMATION FOR ALL TRAVELERS:

This information will be XX’d out for security on the email copy you receive, however we will have access to it on our secure site.

Birthdate (MM/DD/YYYY Format):

Sex

Male
Female

Traveler's Legal Name: (Passport Necessary for International Travel)

Title:

Mr.
Mrs.
Ms.

First Name:

Middle Name:

Middle Name

No Middle Name

Last Name:

Suffix

(Tickets issued electronically unless otherwise requested.)

Traveler's Email:

Traveler's Cell:

Home Phone:

Guardian/Parent's Name:

Guardian/Parent's Phone:

Guardian/Parent's Email:

Trip Information:

From (City/Airport) | To (USNA/BWI)

Additional Comments:

Disclaimer on cancellation and refunds

I Agree

I understand that the program participant and their parents/guardians will be financially responsible and required to reimburse the U.S. Naval Academy/Candidate Guidance Fund for the travel costs if the ticket is altered, cancelled or left unused. If this directive is not adhered to, it will be reflected on the student's contact record at the United States Naval Academy (USNA) Office of Admissions.

USNA: Summer STEM Travel Form

REQUIRED TSA SECURE FLIGHT INFORMATION FOR ALL TRAVELERS:

Traveler's Legal Name: (Passport Necessary for International Travel)

(Tickets issued electronically unless otherwise requested.)

Trip Information:

Call A Travel Advisor