UMBC
The Commons Administration Contact information:
The Commons, Suite 335 Phone: 410-455-3455
1000 Hilltop Circle Ms. Patti Schuyler
Baltimore, MD 21250 paschuyl@umbc.edu
www.umbc.edu/thecommons
APPLICATION
The MTA Bus Pass Financial Assistance Program is administered by The Commons. If you require financial assistance to obtain an MTA bus pass for the purpose of utilizing the MTA discounted student bus pass program offered through the Office of Off-Campus Student Services and are enrolled in class or are undertaking an internship requiring travel between UMBC & UMB campuses, please complete the following form and return to The Commons Administration at The Commons, Suite 335. This application requires the chair* of your academic program to verify your enrollment in class or internship requiring inter-campus travel.
Your Name ______________________________ UMBC ID______________________________
UMBC E-mail _________________________ Phone Number _____________________________
Name of the Academic Program/Department you are enrolled in which requires your inter-campus travel:
_____________________________________________________________________________
And/or
Name of your Internship requiring inter-campus travel: _________________________________________________________________________
And/or
Name and number of the Class you are attending requiring inter-campus travel:
______________________________________________________________________
Please describe your financial need:
___________________________ __________
Applicant’s signature Date
The applicant’s inter-campus travel is required for the following months (Chairperson, please initial applicable individual month(s) for spring semester 2010 and sign below if approved:
February____ * March ____* April ___ * May ___*
___________________________ __________________________ ________________
*Chair’s signature Chair’s Printed Name Date