University of Chicago 2024 – Student Information Please provide the following information: Student InformationFull Name (as written on passport)(Required) First Middle Last Email(Required) Cell Phone(Required)Birthdate(Required) MM slash DD slash YYYY Country of Citizenship(Required) Passport Number(Required) Expiration Date(Required) MM slash DD slash YYYY Arrival FlightFlight Number(Required) Arrival Date and Time(Required) Departure FlightFlight Number(Required) Departure Time(Required) Departure City(Required) Special RequestsFood Allergies and Dietary RestrictionsOther Special Needs Δ
