Flight Booking Form

Name(required)

Email(required)

Please copy and paste the website address for your flight(required)

Departure From (Please include city and airport name)(required)

Departure Date (dd/mmm/yy)

Departure Time (am/pm)

Return from (Please inlcude City and airport name)

Return date (dd/mmm/yy)

Purpose of the trip

Program(required) CIC - Community Integration through Coop Education GAS - College Health Science Option GAS - University Science Preparation GAS - University Transfer PHS - Preparatory Health Science