EmailMeForm
Student ID/Bus Pass Opt-In - Spring / Summer 2025
Coverage from (May 1st to August 31. 2025) is $277.20
***If you Opt-in to the Bus Pass you will not be permitted to Opt-out.***
Today's Date:
*
MM
/
DD
/
YYYY
Campus of Study:
*
Please select
Aviation Campus
College Drive Campus
Commerce Court Campus
Full Name:
*
First
Last
Date of Birth:
*
MM
/
DD
/
YYYY
Phone Number:
*
###
-
###
-
####
Email:
*
Program of Study:
*
Current Semester of Study:
*
Student Number:
*
***If you Opt-in to the Bus Pass you will not be permitted to Opt-out.***
I understand that I cannot opt-out after I have submitted this form
Please accept this as my signature:
*
This is my signature
