GVSU Travel Insurance Registration Form

Students, faculty & staff can use this form to opt-in to the GVSU Travel Insurance program.

IMPORTANT: To calculate the number of days, you can use a date calculator

NOTE: This is specifically for University-related travel.

* denotes a required field

First Name *

Last Name *

Email *

Phone *

G-number *

GVSU status *
Please specify a value for GVSU status

Purpose of travel *

Countries to be visited *

Date of arrival to host country *

Date of return *

Total # of days abroad *

Human Verification *

Page last modified February 16, 2023