Student Transit Benefit Application

To receive the transit benefit, you must complete this application and submit it to Campus Concierge. If you meet the eligibility requirements and are approved by Campus Concierge, your transit benefit will be activated.

Applications may be submitted at any time, but must be renewed each year in September to continue the benefit. The benefit is available to students during the academic year, September through May.

Academic year for which you are applying:*

Name:*

First Name

Last Name

PLU ID:*

Email:*

Address:*

Address Line 1

Address Line 2

City

State

ZIP Code

Home Phone:

Cell Phone:

Are you a commuter student taking 12 credits or more?*

Yes No

How many days per week (on average) do you plan to use transit to commute to PLU?*

I have read and understand the Student Transit Benefit Policy and ORCA Cardholder Rules of Use and agree to comply with the requirements for receiving the transit benefit. I further certify that I am receiving the benefit for my personal use and commute via transit at least three days per week on average.*

I agree