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Study Abroad Enrollment Form

Submit the information below to begin our enrollment process. We recommend reviewing the form first to see all the information you will need to complete and upload.

If you have any questions, please reach out to your StudyAbroad.com Advisor.

"*" indicates required fields

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This field is for validation purposes and should be left unchanged.

Personal Information

Name*

First Middle Name Last

Email*

Enter Email Confirm Email

Please upload a well-lit photo that clearly shows your face.*

Drop files here or

Max. file size: 256 MB.

Please upload a photo or scan of your passport bio page (should include the page with your photo, as well as the page with your signature).*

NOTE: If you are applying for or renewing your passport, and it is processing, you can upload a placeholder file here and send us a copy of your passport bio page once you get it!

Drop files here or

Max. file size: 256 MB.

Program Information

Which program are you enrolling in?*

Which term?*

Which year?*

Have you already chosen which courses you’d like to take while studying abroad?*

Course Choice 1

Course Choice 2

Course Choice 3

Course Choice 4

Course Choice 5

Course Choice 6 (Optional)

Health Information

Do you experience any of the following medical conditions?*

Asthma

Bronchitis

Shortness of breath

Hayfever

Mental health conditions

Eczema

Broken bones

Bleeding/clotting disorders

Epilepsy

Migraine

Severe head injury

Back problems

Reduced mobility

Frequent ear infections

Diabetes

Blood pressure problems

Any chronic or recurring illness

None of the above

Do you have any other disabilities or medical conditions you’d like to tell us about?*

Do you smoke?*

Are you up to date on your vaccinations?*

Have you had a health/wellness checkup in the last year?*

Will you require any prescription medications while you are abroad?*

Do you have any dietary requirements?*

Do you have any allergies we should be aware of?*

Are there any preferences or concerns that we should be aware of when booking housing for you abroad?*

Background Information

Have you ever been convicted of a serious criminal offense, including but not limited to crimes equivalent to a felony in the US, or been required to register as a sex offender?*

Yes

Insurance Information

Would you like to be enrolled in StudyAbroad.com’s Travel Medical Insurance (included in your program fee) or supply your own?*

Travel Insurance Provider Information

Please provide the following information about your own insurance.

Travel Insurance Provider Name

Travel Insurance Provider Email

Travel Insurance Provider Phone Number

Travel Insurance Policy Number

Travel Insurance Start Date

MM slash DD slash YYYY

Travel Insurance End Date

MM slash DD slash YYYY

Please upload a copy of your travel insurance confirmation / policy.*

Drop files here or

Max. file size: 256 MB.

Emergency Contacts

Emergency Contact Full Name*

Emergency Contact Relationship to You*

Emergency Contact Address*

Emergency Contact Phone Number*

Emergency Contact Email Address*

Permission to Release Information*

Yes

Under the provisions of the Family Education Rights and Privacy Act, we are unable to release information about you to anyone without your permission.

In the event of an emergency we will notify your emergency contact. However, at times you may want us to release non-emergency information regarding program arrangements or program changes, financial aid or other financial issues, health insurance or other health matters, travel arrangements, and personal safety.

If you would like us to share any information about you with a parent, guardian or other contact while you are abroad, please indicate below the full names, phone numbers, and email addresses of those contacts. If you do not wish to designate anyone, please select “No” above. Changes must be submitted to us in writing.

If "Yes", please enter contacts to release information to:

Enrollment Materials

Personal Statement*

Please Upload Official Transcript(s)*

Please provide transcript(s) from current and previous tertiary (university level) study. This must be a scanned copy signed & stamped by home university or an official electronic copy. If your transcript is not in English, include the transcript in the original language and an official English translation.

Drop files here or

Max. file size: 256 MB.

Participant Agreement

Please read through the StudyAbroad.com Participant Agreement and Policies and then add your signature and confirm your full name and date. By adding your signature below, you are agreeing to the Participant Agreement and Policies.

Full Name*

Date*

MM slash DD slash YYYY

Signature*

Payment Information

Please tell us how you plan to settle payment for your program.

How do you plan to pay?*

If "Other", please describe in detail:*

Program Deposit

The $1,000 USD program deposit is required in order to move forward with your enrollment process, and is applied toward your full program fee

Are you ready to pay your $1,000 USD program deposit?*

Please provide the name of the person/school/company that will be paying your deposit.

After clicking submit, you will be taken to the confirmation page with a link to pay your program deposit online.

Consent*

By checking this box, I consent to StudyAbroad.com collecting and storing my data through the submission of this form, sending marketing communications, and I agree to the StudyAbroad.com Privacy Policy.

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STUDY ABROAD FOR EVERYONE

We’re here to make studying abroad achievable, and we’re building a community of open-minded, connected, and culturally aware people ready to make a real impact in our ever-connected world.

CONTACT US

+1 623-552-4876

info@studyabroad.com

Raleigh Expeditions Ltd, Unit 10 Kingfisher Park, Headlands Business Park, Ringwood, Hampshire, BH243NX, UK

ITG US LLC, 3015 E Franklin Ave. Minneapolis, MN 55406 USA

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SUBSCRIBE TO OUR NEWSLETTER

Stay up to date with the latest study abroad programs, news and promotions! No spam, just good content.

"*" indicates required fields

First Name*

Last Name*

Email*

Consent*

STUDY ABROAD FOR EVERYONE

We’re here to make studying abroad achievable, and we’re building a community of open-minded, connected, and culturally aware people ready to make a real impact in our ever-connected world.

CONTACT US

+1 623-552-4876

info@studyabroad.com

Raleigh Expeditions Ltd, Unit 10 Kingfisher Park, Headlands Business Park, Ringwood, Hampshire, BH243NX, UK

ITG US LLC, 3015 E Franklin Ave. Minneapolis, MN 55406 USA

GET STARTED

SUBSCRIBE TO OUR NEWSLETTER

Stay up to date with the latest study abroad programs, news and promotions! No spam, just good content.

"*" indicates required fields

First Name*

Last Name*

Email*

Consent*

STUDY ABROAD FOR EVERYONE

We’re here to make studying abroad achievable, and we’re building a community of open-minded, connected, and culturally aware people ready to make a real impact in our ever-connected world.

CONTACT US

+1 623-552-4876

info@studyabroad.com

Raleigh Expeditions Ltd, Unit 10 Kingfisher Park, Headlands Business Park, Ringwood, Hampshire, BH243NX, UK

ITG US LLC, 3015 E Franklin Ave. Minneapolis, MN 55406 USA

GET STARTED

SUBSCRIBE TO OUR NEWSLETTER

Stay up to date with the latest study abroad programs, news and promotions! No spam, just good content.

"*" indicates required fields

First Name*

Last Name*

Email*

Consent*

Raleigh Expeditions Ltd is the merchant company for UK Sales of 'Study Abroad'.
Impact Travel Group US LLC is the merchant company for US Sales of 'Study Abroad'.

Raleigh Expeditions Ltd T/a Study Abroad
Impact Travel Group US LLC – T/a Study Abroad

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- AFRICA
  - Morocco
  - South Africa
- AMERICAS
- OCEANIA
  - New Zealand
- ASIA
  - Bali, Indonesia
  - China
  - Japan
  - South Korea
  - Taiwan
  - Thailand
- EUROPE
  - Croatia
  - Cyprus
  - Czech Republic
  - England
  - France
  - Georgia
  - Hungary
  - Ireland
  - Italy
  - Northern Ireland
  - Portugal
  - Scotland
  - Spain
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