Nursing Travel

Use this form to make payments towards your Nursing Travel.

Refer to your Via applicaiton portal for trip-specific payment amounts and due dates, then adjust the PRICE section of this form accordingly.

Additional questions about payment requirements can be directed to Nursing Program Coordinator, Kimberlee_Arterburn@pba.edu.

Any difficulty with this payment form can be directed to RCEL@pba.edu

Fields with asterisk are required.

Traveler's Full Name *
Enter an email address for your payment receipt. *
Specify the Travel Program Name--Destination--Dates (e.g. Nursing-Costa Rica-Spring Break) *
Specify what this payment is for -- confirmation deposit, airfare, balance, etc. *

Please enter your price:

The price must be from $0.00 to $5,000.00

Qty:

Use this form to make payments towards your Nursing Travel.

Refer to your Via applicaiton portal for trip-specific payment amounts and due dates, then adjust the PRICE section of this form accordingly.

Additional questions about payment requirements can be directed to Nursing Program Coordinator, Kimberlee_Arterburn@pba.edu.

Any difficulty with this payment form can be directed to RCEL@pba.edu