Online Arrival Form

IMPORTANT: To be placed in ELI housing you must complete and return this form.

Approximately 2 weeks before you begin your studies, you will receive an email with the confirmation of your housing reservation and your airport shuttle reservation.

*(denotes required field)

First Name: *

Middle Name:

Last Name: *

E-Mail Address: *

Student ID#: *

Gender: *

Agent Information

If an agency is helping you with your application, please enter their information below.

Agency name:

Name of counselor:

Agent email:

Study Dates

Select the date you wish to begin your studies.

Start date: *

If you chose "OTHER" above, please select the date that you wish to start your studies.

Start date (other):

Housing Confirmation

Where do you want to live during your first session at the ELI?
We will try to reserve your first housing choice for you; however, since we have limited housing, you must choose 2 different housing types on this form. By submitting a housing request, you automatically accept the ELI Housing Terms and Conditions.

First choice: *

Second choice: *

Flight Information

Arrival Airport: *

If you answered "OTHER" to the question above, write the name of the airport where you plan to arrive.

Airport name:

Note: We can ONLY make shuttle arrangements for students who will arrive in Philadelphia International Airport.

Please enter your flight information.

Airline: *

Flight number: *

Arrival date: *

Arrival time: *

Please write the last connecting city where you will go before you arrive at the Philadelphia International Airport.

Last connecting city: *

Airport Transportation

Price: Approximately US $49.

Pickup request: *

Note: If you want the ELI to make airport transportation arrangements for you, then you must agree to the following terms:

You must provide the ELI with your credit card details using the Credit Card Authorization form (PDF). You must download and complete the form and send it to us by fax at +1-302-831-4201.
You must provide the ELI with any changes in your flight information.
You must contact Delaware Express at +1-302-454-7800 if your fight information changes.
You understand that your credit card will be charged if you do not notify Delaware Express of any reservation changes or cancellations.

Temporary Housing (Hotel)

Price: Approximately US $50 per night.

Please choose your preference.

Smoking preference: *

Hotel request: *

Note: If you want the ELI to make a temporary housing reservation for you, then you must agree to the following terms:

You must provide the ELI with your credit card details using the Credit Card Authorization Form (PDF). You must download and complete the form and send it to the ELI by fax at +1-302-831-4201.
You must provide the ELI with any changes in your arrival information.
You understand that your credit card will be charged if you do not notify the ELI of any reservation changes or cancellations.

Signature

Signature (write your name): *