Application for Faculty Led Program: Italy (Spring Break, 2018)

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1.	We are pleased that you are applying for a faculty led study abroad academic program in Italy administered by Fitchburg State University. A completed application includes: The application form. An Unofficial Academic Transcript for all college work is required. Please have the Registrar send a copy to the Office of International Education, Study Abroad Advisor. A copy of your valid passport. If you do not have a passport at this time, submit a copy once you receive it. The link to obtaining a US Passport can be found by clicking on the picture of a passport on the study abroad section of our website. All applicants will be notified via university email address as quickly as possible of the status of your application. Please indicate your name, address and phone number below:

2.	Please indicate your identification number (@_________) and university email address (________@student.fitchburgstate.edu.) Also, let us know the major/minor you have declared.

3.	List your emergency contact: Please indicate if a translator is necessary to speak with your emergency contact, and indicate the language.*

POLICIES

Fitchburg State University (FSU) reserves the right to refuse admittance to the program.
There will be no refunds for students who leave the program early for personal reasons or are dismissed for misconduct.
Students who withdraw from the program after the deadline, but before the official start date of a program, will not receive a refund for monies paid unless we are able to fill your spot.
Students who withdraw from a program before the application deadline will receive a full refund.
Students who are not admitted into a program will receive their full deposit back.
Students who are accepted and participate on a program will have their full deposit applied to the cost of their program.
If there are any significant inflationary increases in the exchange rate, FSU reserves the right to increase the price of the program prior to the departure date.

Students may not study on an Fitchburg State University study abroad program without a valid passport.

In consideration of the benefits accruing to me from FSU and other good and valuable consideration, do hereby release and discharge FSU and any and all of their agents, employees, or representatives from all actions, suits, claims, or liability for damages or other legal or equitable relief of any nature resulting from, arising out of, or related to my participation in the program (including, without limitation, claims for personal injury or property damage). In addition, I hereby grant all FSU employees and their agents permission to disclose and release information about me to my current academic advisor at my college/university, as well as to my parents and family.

My electronic signature below indicates I have read the policies and and the release, and the information given in this application is accurate to the best of my knowledge: