Meredith College International Programs

Continuing Education in Italy

 

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Applicant Information

PLEASE TYPE YOUR NAME EXACTLY AS IT APPEARS ON YOUR PASSPORT

Date of Birth*
Are you a Meredith College alumna?*
Are you a U.S. citizen?*
Do you have a passport?*
Passport Expiration Date
Please acknowledge*
COVID-19 Protocols - Please acknowledge*
Physical Activity - Please acknowledge *
Housing While Abroad - Please acknowledge*

Address Information

Street Address
Apt. #
City
State
Zip Code
(xxx) xxx-xxxx

Allergies and Dietary Needs

Do you have any allergies or reactions to any medications, foods, insects, or other agents?*
Do you have any special dietary needs (vegetarian, gluten-free, etc.)*

International Programs Interest

How did you first hear about this Meredith College program? (Check all that apply.)

Communication Authorization

I give the Office of International Programs permission to communicate with my spouse/partner or other designated person regarding all issues surrounding my Tuscan Intensives experience. This may include health and safety issues.*
Street Address
Apartment #
City
State
Zip Code
(xxx) xxx-xxxx
(xxx) xxx-xxxx
(xxx) xxx-xxxx
Street Address
Apartment #
City
State
Zip Code
(xxx) xxx-xxxx
(xxx) xxx-xxxx
(xxx) xxx-xxxx

Acknowledgement of Responsibilities

Acknowledgment of Responsibilities

If I need to withdraw on the day of departure or during the program, I understand that no refund will be available.

We recommend that all of our travelers consult a travel agent about trip insurance, including medical coverage, medical evacuation, and trip cancellation. Many insurance companies require that travelers purchase their most comprehensive policies within a fixed number of days (often less than two weeks) after the date on their initial deposit check.  Some policies exclude pre-existing conditions and some have age limits.  Make certain you secure the coverage you need and want.

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