Next Steps for Enrollment in the Pre-Master’s Program at Navitas at UMass Dartmouth Congratulations on Accepting your Offer! Now that you have your I-20 and are ready for your visa interview, it is important to note the following requirements which must be met at least 3 weeks prior to orientation to ensure enrollment in the pathways program upon arrival:
Confirmation of Visa appointment and approval e-mailed to Navitas at UMass Dartmouth staff * Original (or Official Notary Stamped Copy) Diploma couriered to Navitas at UMass Dartmouth Original (or Official Notary Stamped Copy) Transcripts couriered to Navitas at UMass Dartmouth Original Bank Statement couriered to Navitas at UMass Dartmouth Original Affidavit of Support (if bank statement is not in your name) couriered to Navitas at UMass Dartmouth Payment of Initial Invoice submitted via wire transfer or credit card Confirmation of Accommodation (University Housing Contract required for accommodation on-campus) University Health Forms with accurate immunization records verified by your health care provider Copy of Travel Itinerary emailed to
[email protected] and/or Arrival Confirmation Form completed
*Please note:
It is important that you begin completing the next steps for enrollment while awaiting your visa appointment. Please do not delay in submitting required documents, especially if your visa appointment is less than 3 weeks from the start of orientation. Preparing for Arrival
Prior to departing, review important pre-arrival steps online so that you can organize and prioritize your pre-departure plans. These can be accessed at https://www.umd.navitas.com/microsites/predeparture Please plan to arrive on the designated check-in day: Tues, Aug. 29.
Couriering your Original Documents
Original application materials are required for enrollment. If you submitted scanned/ electronic/ Xerox copies of an IELTS English score, Degree Conferral, Transcripts, Bank Statements, and/or Affidavit of Support during the application process, please courier the original/ notarized copied (NO soft/ electronic copies) via post to the Navitas at UMass Dartmouth Admissions Office immediately upon receipt of your visa. You will not be enrolled in classes until all original documents have been received. Please note, your original Bank Statement, Affidavit of Support, and IELTS score cards are retained as property of the university for their records, and cannot be returned to you. Original Degree Conferrals and Transcripts can be returned once verified and/or notarized; however, it is required that you indicate with your package, that you would like these returned after processing. When couriering original documents, it is important to include the complete address listed below. Please note that the package must be addressed to: Navitas at UMass Dartmouth, c/o Sarah Knarr, 285 Old Westport Road, Dartmouth, MA 02747 in order for your documents to be delivered to our office directly. Packages addressed only to UMass Dartmouth will not be delivered! Please Note: All students in the Pre-Master’s program will be required to submit a resume, statement of purpose, letters of recommendation (2 for students in the College of Business, 3 for students in the College of Engineering), and the official IELTS/ TOEFL score reports. While these documents are not required for enrollment in the Pre-Master’s Program, they will be required prior to completion of the PMP program for admission into the graduate program at UMass Dartmouth.
Paying your Initial Invoice
Payment of your initial invoice is due upon receipt of your F-1 Visa, and must be paid prior to arrival. Payment should be made in U.S. dollars to Navitas USA by cashier check, wire transfer, through direct deposit, or via credit card. Please be sure to include your full legal name and student ID with payment. Please note that you will not be enrolled in classes until your invoice has been paid in full. To pay online, please visit https://www.umd.navitas.com/online-payments or submit payment via wire transfer to: Bank Name: Citi Bank Bank Address: 111 Wall Street, New York, NY 10043 Account Name: Navitas Dartmouth LLC Account Number: 36931237 Routing Number: 021000089 Swift Code: CITIUS33
Confirming your Accommodation
Students in the Pre-Master’s program are encouraged, but not required to live on-campus. If you plan to live on-campus, you must return a Housing Contract via e-mail to secure accommodation at least 4 weeks prior to arrival. The University Housing Contract can be accessed online at https://www.umd.navitas.com/documents-andforms. To access helpful information about living on-campus, as well as an FAQ sheet, visit https://www.umd.navitas.com/accommodation. If you plan to live off-campus, please let us know as soon as possible, and please be sure to research transportation options before securing a lease for an off-campus apartment as public transportation is limited in the local area.
Completing the UMass Dartmouth Health Forms
Students in the United States are not allowed to live on-campus or attend classes without submitting completed Health Forms with accurate records for all required immunizations verified by your health care provider. While students can complete pages 1, 2, and 4; pages 3 and 5 must be completed by a primary care provider and verified by a signature/ stamp. It is important these are submitted as soon as possible so that if additional documentation is required, it can be easily acquired prior to arrival. To access the University Health Forms, visit https://www.umd.navitas.com/documents-and-forms. Please note: TB Skin Testing is not accepted for International Students
Providing your Travel Itinerary
As soon as you have received confirmation of your visa, please begin making travel reservations to arrive on Tuesday, August 29. Once arrangements are made, please complete the Arrival Confirmation Form online at https://www.umd.navitas.com/microsites/predeparture/arrivalconfirmation and/or email your travel itinerary to our student support team at
[email protected]. Need an airport pickup? If you require airport pickup services from Boston or Providence, please be sure to indicate this on the online Arrival Confirmation Form. Note that the approximate cost of the airport pickup service is $160 USD (varies based on total number of students who request this service).
Attending New Student Orientation
All students are required to check in with the Navitas staff to report their arrival on Tuesday, August 29. This is followed by mandatory orientation programs filled with important information, as well as fun activities to help you learn more about the requirements of your program and resources available to you. To learn more about orientation, visit https://www.umd.navitas.com/orientation. Questions??? Please contact our student support team at
[email protected]
Health Form Requirements: Please note that the enclosed medical forms must be filled out in English and the immunization records must be translated into English as well. All medical forms MUST be submitted before the student is actually on campus at UMass Dartmouth. Any student who has not turned in their medical forms, with completed immunization requirements, will not be enrolled in classes. You are required to have a physician fill out your immunization records on page 3 and return your completed health forms, including all 4 pages (and Tuberculosis Risk Assessment on page 5 if applicable), to Navitas at UMass Dartmouth at least 3 weeks prior to your arrival. These forms are mandatory and failure to complete them will prevent you from being able to move on-campus and register in classes. Students in the United States are NOT permitted to attend a University without these forms!
Before returning your health forms, please check the following:
Your immunization history must be completed by a doctor! Immunization records for the following must be accurate, complete, and provided from your doctor or health care facility, page 3 should NOT be completed by the student/parent/agent: 1) M.M.R. – Measles, Mumps & Rubella (2 doses are required at least one month apart). The first dose must be given at least 12 months from date of birth. 2) TDAP – Tetanus, Diphtheria and Pertussis (must be given within the last 5 years) TD and/or DTP is not acceptable in place of the TDAP vaccine. 3) Hepatitis B Vaccine (3 doses required) *Dose 1 and dose 2 must be at least one month apart *Dose 3 must be four months after dose 1 and at least two months after dose 2 4)
Varicella Vaccine – (2 immunizations required at least 28 days apart) Or positive history of disease (chickenpox) and recorded date
5) Meningococcal Vaccine or signed waiver form
All pages must be included, including the Meningococcal Waiver if you have not had the vaccine.
Tuberculosis Screening: If you have answered Yes to questions 2, 3, or 4 on page 4 of the health forms, it is required that you provide Tuberculin IGRA Blood Test results. The TB blood test must be done within the last 6 months, and PPD skin tests cannot be accepted for international students. Note: Students with a positive TB test must provide an x-ray report and documentation that verifies a conversation has taken place with your doctor regarding recommending INH medication regimes. If you answer NO to all of the questions on page 4 you are still required to submit complete immunization records!
Please contact our Student Services team if you have any questions about the health forms or immunization requirements. Completed Health Forms and Immunization Records can be emailed to
[email protected]
Navitas at UMass Dartmouth | 285 Old Westport Road | Dartmouth, MA 02747 T: +508 990 9661 | F: +508 990 9667 | W: www.umd.navitas.com
Medical History Form
Name: _____________________________________________ Last First
Male
Female
Transgender
Date of Birth: _____________ Month/Day/Year
Student ID #: _________________ Home Phone: __________________ Cell Phone :________________ Email: ___________________________ Permanent Address: _______________________________________________________________________________________________________ Birthplace (Country): ____________________________________ Entering as:
Undergraduate
Date Entering UMass Dartmouth:________________________________ Graduate
Residential
Commuter
If you have been previously enrolled at UMass Dartmouth, please list the date you last attended: __________________________________________
____________________________________________________________________________________________________________ Parent/Guardian/Next-of-Kin Information (for contact in case of emergency) Name:_______________________________________________________________
Relationship:______________________________________
Address : _______________________________________________________________________________________________________________ Home Phone :__________________________ Cell Phone:__________________________ Business Phone: _______________________________
Alternate Emergency Contact Name:___________________________________________________________ _________ Relationship: __________________________________ Address: _______________________________________________________________________________________________________________ Home Phone: __________________________ Cell Phone: __________________________ Business Phone:_______________________________ Only in the event of an emergency would this contact information be released to University Authorities _______________________________________________________________________________________________________
Primary Care Provider Name and Phone #: _____________________________________________________________ _______________________________________________________________________________________________________
Insurance Coverage Name of Company: ______________________________ Address: _____________________________ Subscriber Name: ____________________________________________ ID: _________________________________________
Consent for Medical Care Signature of Parent/Guardian Required if student is 18 years of age. Parental consent is valid only until age 18. I hereby grant permission to the Director of UMass Dartmouth Health Services, or authorized representatives to provide such medical care as my daughter/son/ward ________________________________ may require while he/she is a student at UMass Dartmouth including examinations, treatment, immunizations, etc. This also includes referral to an outside provider, a local hospital, hospitalization, anesthesia and/or surgery should be necessary in the event of a serious illness or injury and I am unable to be reached. Name of Parent/Guardian (print):_________________________ Signature: _____________________ Date: _______________
Upload your Medical History form directly into the Medicat Patient Portal at http://umassd.medicatconnect.com. If you cannot access the portal, fax to (508) 999-8985 or mail to: Student Health Services, University of Massachusetts Dartmouth, 285 Old Westport Road, North Dartmouth, MA 02747-2300. You may also call Health Services at 508-999-8982 with any questions.
Medical Health History Form
Age
Family History State of Health Age of Death
Cause of Death
Father Mother Brothers Sisters Spouse Children
Have any of your immediate relatives had any of the following: Yes Relationship Alcohol/Substance Abuse Cancer Diabetes Heart Disease High Blood Pressure Kidney Disease Neuromuscular disorder Mental Illness Tuberculosis
Personal History (do you have now or have you ever had any of the following): CIRCLE ALL THAT APPLY Anemia Anorexia Nervosa/Bulimia Appendectomy Arthritis Asthma Blind/visual impairment Cancer/malignancy Chickenpox Crohn’s/Ulcerative Colitis Deaf/hearing impairment
Depression Diabetes Drug/Alcohol problems Emotional/mental illness Heart disease/problem Hepatitis (Type _____ ) High Blood Pressure High cholesterol Impaired mobility/paralysis Irritable Bowel Syndrome
Kidney disease/stones Learning disability Loss of paired organ (eye, kidney) Malaria Migraines/chronic headaches Mononucleosis Neuromuscular disease Phlebitis/deep vein clot Pneumothorax Seizure disorder
Sickle cell disease Sleep Problems Thyroid disease Positive TB test Tuberculosis disease Ulcer/stomach problems Urinary tract infection (frequent/recurrent) Other: ______________________ ______________________
Please explain all positive answers (with dates): ______________________________________________________________________________ ________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________
Inpatient Hospitalizations: Please list all medical/psychiatric hospitalizations, dates, and diagnoses: __________________________________ ________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________
Medications: Please list all (prescription and over-the-counter) including birth control and herbal supplements. ________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________
Allergies
None Known
Yes
(If yes, please specify, including medications, insect venoms, foods, etc.) and type of reaction: _____
________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________
Upload your Medical History form directly into the Medicat Patient Portal at http://umassd.medicatconnect.com. If you cannot access the portal, fax to (508) 999-8985 or mail to: Student Health Services, University of Massachusetts Dartmouth, 285 Old Westport Road, North Dartmouth, MA 02747-2300. You may also call Health Services at 508-999-8982 with any questions.
Required Immunizations Name_________________________ Student ID#______________ Date of Birth ___/____/___ Last First Month Day Year Record using Month/Day/Year format
mm/dd/yyyy
3. Tdap (Tetanus, Diphtheria, Acellular, Pertussis)
1. MMR (Measles, Mumps, Rubella) 2 doses required
(Received within 10 years) _____/_____/_____
Dose 1 ____/____/______(given on or after first birthday)
4. Varicella (Chicken Pox)
Dose 2 ____/____/______ (given at least 1 month after dose 1)
Dose 1 _____/_____/_____
OR
Dose 2 _____/_____/_____ (at least 1 month after dose 1)
Born in USA before 1957 (Except for Health Science majors)
OR
OR
Positive measles blood titer ___/____/_____(Attach lab report)
Born in USA before 1980 (Except for Health Science majors)
Positive mumps blood titer ___/____/_____ (Attach lab report)
OR
Positive rubella blood titer ___/____/_____ (Attach lab report) Positive Varicella titer
2. Hepatitis B
2 doses required
____/____/_____ (attach lab report)
3 doses required
OR History of the disease verified by healthcare provider
Dose 1 ____/____/_____ Dose 2 ____/____/_____
(at least 1 month after dose 1)
Dose 3 ____/____/_____
(at least 2 months after dose 2 and
___/____/_____ (Date of Disease)
5. Meningitis Vaccine (given within 5 years). Must be either
4 months after dose 1)
MCV4 (Menactra or Menveo) or MPSV4 (Menomune)
OR
___/____/_____
Recombivax 10 mcg given ages 11-15 (2 doses at least 4
OR
months apart)
Not living on campus and is exempt from Meningitis requirement
Dose 1 ___/____/_____
OR
Dose 2 ___/____/_____ Signed Waiver (attach waiver)
OR Positive Hepatitis B serology (HBsAB) ____/____/_____
(Attach lab report)
Healthcare Provider Signature
(required unless you attach a copy of an immunization record)
_____________________________ Name (Please Print)
______________________________ Signature
____________________________________ Address
_____/_____/______ Date
________________ Phone
________________ Fax
Immunization requirements apply to all full time undergraduate and graduate students, all part-time health science students, students here on a visa and all residential students. Signature of a healthcare provider is required. All titers must have a laboratory report attached. Please email your completed health forms and records to the Navitas Student Services Staff at
[email protected].
Tuberculosis Risk Assessment
Name: ______________________________________________________________________________________ Date: _____________ Last First Middle Initial Date of Birth: ______________ Student ID #: __________________ Phone Number: __________________ E-mail: _________________________ Country of Birth: ________________________ Student Signature: __________________________________
All students must answer the following questions by circling the correct answer. If you answered yes to any question, your healthcare provider must complete and sign the second page. 1. Have you ever had a positive tuberculosis test? Yes No 2. Have you traveled or lived for more than one month in any of the countries listed below? Yes No 3. Have you had close contact with anyone who was sick with tuberculosis? Yes No 4. Were you born in any of the countries listed below? Yes No If yes, what country: __________________________________ Date of Entry into USA: _______________________
Afghanistan Algeria Angola Armenia Azerbaijan Bangladesh Belarus Benin Bhutan Bolivia Bosnia & Herzegovina Botswana Brazil Brunel Darussalam Burkina Faso Burundi Cambodia Cameroon Cape Verde Central African Republic Chad China Congo Congo Demographic Republic Cote d’Ivoire Djibouti Dominican Republic East Timor Ecuador
COUNTRIES WITH HIGH RATES OF TUBERCULOSIS (TB) Equatorial Guinea Lithuania Eritrea Macau Ethiopia Madagascar Fiji Malawi Gabon Malaysia Gambia Maldives Georgia Mali Ghana Marshall Islands Greenland Mauritania Guatemala Micronesia (Federal State of) Guinea Moldova Guinea-Bissau Mongolia Guyana Morocco Haiti Mozambique Honduras Myanmar Hong Kong Namibia India Nauru Indonesia Nepal Iraq Nicaragua Kazakhstan Niger Kenya Nigeria Kiribati Northern Mariana Islands Korea, North Pakistan Korea, Republic of Palau Kyrgyzstan Panama Laos Papua New Guinea Latvia Paraguay Lesotho Peru Liberia Philippines Libyan Qatar
Romania Russian Federation Rwanda Sao Tome & Principe Senegal Sierra Leone Singapore Solomon Islands Somalia South Africa Sri Lanka Sudan Sudan, South Swaziland Tajikistan Tanzania Thailand Togo Turkmenistan Tuvalu Uganda Ukraine Uzbekistan Vanuatu Vietnam Yemen Zambia Zimbabwe
Upload your tuberculosis screening form directly into the Medicat Patient Portal at http://umassd.medicatconnect.com. If you cannot access the portal, fax to (508) 999-8985 or mail to: Student Health Services, University of Massachusetts Dartmouth, 285 Old Westport Road, North Dartmouth, MA 02747-2300
Tuberculosis Risk Assessment
Name: ______________________________________________________________________________________ Date: _____________ Last First Middle Initial Date of Birth: ______________ Student ID #: _________________ Phone Number: _______________ Country of Birth : _____________________
Tuberculosis Testing Students who responded yes to any of questions 2 through 4 on Page 1 of the TB Risk Assessment form, must have tuberculosis testing done. All international students who responded yes must have the IGRA blood test for tuberculosis. Tuberculosis skin testing will not be accepted. All other students may choose between the IGRA blood test or Tuberculin skin test. IGRA ( Interferon Gamma Release Assay) blood Test Date of IGRA Blood Test ______________ Month/Day/Year
Only accepted test result for international students
Circle Result
Positive
Negative
ATTACH COPY OF LAB
OR Tuberculosis skin test (Mantoux, PPD)
NOT ACCEPTED FOR INTERNATIONAL STUDENTS
Date given ____/____/______ Date Read ____/____/____ Result _______mm of induration month/day/year Interpretation _______Negative ______Positive
5 mm or greater is positive
GUIDE TO INTERPRETATION OF TUBERCULOSIS SKIN TESTING 10 mm or more is positive
-Recent close contacts of an individual with infectious tuberculosis -Persons with fibrotic changes on a prior chest x-ray consistent with past TB disease -Organ transplant recipients -Immunosuppressed persons taking ˃15 mg/d of prednisone for ˃1 month: taking a TNF antagonist -Persons with HIV/AIDS
-Persons born in a high prevalence country or who resided in one for a significant amount of time -History of illicit drug use -Mycobacteriology laboratory personnel -History of resident, worker or volunteer in high-risk congregate settings -Persons with the following clinical conditions; silicosis, diabetes mellitus, chronic renal failure, leukemias and lymphomas, head, neck or lung cancer, low body weight (˃10% below ideal), gastrectomy or intestinal bypass, chronic malabsorption syndrome
15 mm or more is positive -Persons with no known risk factors for TB disease
If Tuberculosis testing is positive, now or by history, the following are required: Date of positive TB test ____/_____/____ Circle test : IGRA (Attach copy of Lab) or TST mm of induration _________ Chest X-ray result ______Normal ______Abnormal (attach report not the x-ray ) Date of X-ray _____/_____/____ Treatment _____No ______Yes Drug(s), dose, frequency, and dates __________________________________________________________________________________________ __________________________________________________________________________________________
Health Care Provider Name: _______________________________________ Address: ______________________________________________________________ Signature: _____________________________________________ Phone: _________________________________________
Upload your tuberculosis screening form directly into the Medicat Patient Portal at http://umassd.medicatconnect.com. If you cannot access the portal, fax to (508) 999-8985 or mail to: Student Health Services, University of Massachusetts Dartmouth, 285 Old Westport Road, North Dartmouth, MA 02747-2300
UNIVERSITY OF MASSACHUSETTS DARTMOUTH HOUSING AND DINING SERVICES CONTRACT 2017 – 2018 ACADEMIC YEAR NAVITAS PMP CONTRACT __________________________ Last Name ____________________________ UMassD Student Number
______________________________ First Name
____ MI
OFFICE DATE STAMP HERE
____ ____ ____
________________________________________ Cell Phone #
M
F
No answer
________/________/________ Date of Birth mm/dd/yyyy
_______________________________________ UMassD E-mail Address
________________________________________________ Home: Street Address
______________________________________ ____________ _________________ Home: City/State Home: Zip Home: Telephone
________________________________________________ Emergency Contact: Name
______________________________________ Emergency Contact: Phone Number
Rank Room Type preferences from 1 (high) to 3 (low)
Room Type _____ Double _____ Single - 4 bd/2 bth _____ Single - A _______ Single - B thru F
Residence Hall Oak Glen/Pine Dale Woodlands Cedar Dell Cedar Dell
*Rate $8,719 $9,203 $8,659 $8,811
_____ _____ _____
Any Hall Memberships (incl. Woodlands/Dell) Yr. Rate Platinum Dining Membership $4,746 Gold Dining Membership + $225 Corsair Cash $4,562 Silver Dining Membership + $400 Corsair Cash $4,562
_____ _____ _____ _____ _____ _____
Woodlands/Cedar Dell Meal Plan Yr. Rate Bronze Dining Membership + $400 Corsair Cash $2,858 $1250 Declining Balance (year) $1,250 $1000 Declining Balance (year) $1,000 $750 Declining Balance (year) $750 $500 Declining Balance (year) $500 No meal plan N/A
*- Rates are proposed and will be approved by the Board of Trustees in late July. ** Students in Pine Dale or Oak Glen, are required to choose a Platinum, Gold, or Silver dining membership. Students in the Woodland Apartments or Cedar Dell may choose any listed plan. *** - Different amounts of Corsair Cash are available – please contact UMassD Dining for more information
Housing Accommodations _____ I will need assistance in case of an emergency _____ I am requesting reasonable accommodations for a disability and will be submitting my paper work to the housing office by August 1, 2017. Please refer to the Housing website for more information.
Roommate Request Roommate requests are due no later than June 12, 2016, and are contingent upon bed space availability ____________________________________________________________ ____________________________________________________________ ____________________________________________________________
NOTE: If you prefer or need campus housing during some or all academic break periods (Thanksgiving, Winter Intersession, Spring Break, Summer Intersession) and would like to extend this academic year contract, please sign this academic year contract and place a √ in the following box . We will contact you with more information about 10 and 12 month contract options. To change your meal plan over the summer, students can email
[email protected] with their ID number and plan change request. Plan changes after August 15 should go through the UMass Pass office. Plans can be changed through the first ten (10) business days of each semester, but can not be canceled after August 15.
I acknowledge that my signature on this document constitutes a binding contract for the entire academic year (both semesters) stated above in accordance with the Terms and Conditions of Occupancy which I have reviewed at: www.umassd.edu/housing In consideration of an assignment in the University Residences, I agree to pay the contract rates specified and abide by the Terms and Conditions of Occupancy. I understand specific assignments are made based upon space availability, and I may not receive my first choice or preferred housing assignment. ________________________________________________________________________ Student Signature
___________________________ Date
________________________________________________________________________ Parent Signature (for students under 18 years of age)
___________________________ Date
_________________________________________________ Parent Street Address FOR OFFICE USE ONLY
BUILDING:
APT/ROOM:
_________________________________ Parent City/State BED SPACE:
ENTERED ON:
__________________ Parent Zip ENTERED BY:
Navitas at UMass Dartmouth Arrival Confirmation & Airport Pickup Form Arrival Information All students should complete this form to indicate travel plans at least two weeks prior to their expected arrival. All new students must attend the mandatory orientation program, so it is important that you arrive to Dartmouth on or before the scheduled check-in day. You have the option of arranging your own personal transportation to reach UMass Dartmouth or you can take our scheduled airport service, which is approximately $160 USD per person*. If you request an airport pickup, requests must be submitted with your full flight details at least one week in advance of your flight. Students requesting an airport pickup should plan to arrive at Boston Logan International Airport (BOS) or Providence T.F. Green airport (PVD). If you are not requesting an airport pickup service, we ask that you still submit this arrival confirmation form to inform us of your travel plans, and please plan to check in at the Navitas office on campus between 9:00am and 6:00pm on the designated check-in date. Important Note: Students living on-campus, who will arrive to Dartmouth, MA prior to the designated check-in date or after 8:00pm on the check in day, will be required to stay at a local hotel until you can check in to the university residence halls. Early check-ins, prior to the designated check-in date, cannot be arranged. Please refer to the online Pre-Departure Guide for more information and recommendations for local hotels. *Please be advised that this is estimated cost and the final charges will depend on the total number of airport pickups requested. When possible, we will try to arrange group pick-ups to reduce the cost.
Important Information if requesting an Airport Pickup Please read the instructions provided prior to departure if you are requesting an airport pickup.
A confirmation of your airport pickup request will be emailed to you 3-5 days prior to your departure, with an airport terminal guide and information on how to locate the driver at the airport
The driver cannot meet you inside the terminal! You must exit the airport terminal after collecting your luggage at the baggage claim and find the driver outside in the LIMO WAITING AREA.
If you arrive on schedule and cannot find the driver, please contact our Student Services Officer at +1 978 337 1023 immediately for assistance.
You must call or message us immediately to inform us of your new arrival details if you miss your plane or experience delays during your travel.
If you fail to show up within an hour after your plane has landed, or notify us of any changes or cancellation in advance, full fees will be charged for no show.
Additional fees apply for late notification of flight changes or delay.
Surcharge applies for delivery of excess baggage to your accommodation. Please email us a copy of your full flight itinerary after submitting the online Arrival Confirmation. If there are any changes to your flight itinerary or pickup request after submitting this form, it is important that you notify us as soon as possible!
Navitas at UMass Dartmouth | 285 Old Westport Road | North Dartmouth, MA 02747 T: +1 508 990 9665 | M: +1 978 337-1023| W: www.umd.navitas.com
Navitas at UMass Dartmouth Arrival Confirmation & Airport Pickup Form Student Details Given Name: ____________________________
Family Name: _______________________________
Navitas ID Number: ______________________
Country of Citizenship: ________________________
Mobile Number: _________________________
Email Address: _______________________________
Skype ID: ______________________________
Facebook Profile: _____________________________
Do you want to schedule an Airport Pickup service?
Yes
No
Self-Arrival Confirmation (if No was selected) Please fill in this section if you do NOT need an airport pickup service. You should plan to arrive to campus to check in with our staff between 9:00am-6:00pm on the designated check-in date. Are you already in the local area?
Yes
No
Date of Arrival to US: ____________________
Date of Arrival to Campus: ______________________
Self-Arrival Time (please specify the time you expect to arrive on campus for check-in): __________ AM /
PM
Airport Pickup Request (if Yes was selected) Please fill in this section if you require transportation services from Boston Logan Airport or Providence T.F. Green Airport to the UMass Dartmouth campus. Do you have any family members traveling with you? Yes No If yes, who will be traveling with you? _________________________________________________________ If you plan to travel with family members and they require an airport pickup, you must advise us in advance. Additional fees may apply.
Departure Airport/City: __________________________ Departure Date: _________________________ Date of Arrival (to BOS): __________________________ Arrival Time: ___________________ AM /
PM
Airline Name: ______________________________ Flight Number: ______________________________
Please Read and Sign I, (name of student) _________________________ will notify Navitas at UMass Dartmouth immediately if I change my arrival details, or no longer require an airport pickup. Failure to inform Navitas at UMass Dartmouth of any cancellation or change in my arrival details will incur a penalty fee. I understand that notice must be given at least (3) working days prior to departure if I wish to cancel my airport pickup request and it is important that I notify Navitas at UMass Dartmouth of any delays or itinerary changes during my travel that may affect my arrival time. I understand that students who do not arrive at their scheduled time, and fail to notify staff of delays or change in arrival time in advance, resulting in a missed pickup, will be charged the full cost of the pickup service. Signature: ___________________________________________________
Date: ________________________
Please email us a copy of your full flight itinerary after submitting the online Arrival Confirmation. If there are any changes to your flight itinerary or pickup request after submitting this form, it is important that you notify us as soon as possible! Navitas at UMass Dartmouth | 285 Old Westport Road | North Dartmouth, MA 02747 T: +1 508 990 9665 | M: +1 978 337-1023| W: www.umd.navitas.com
