FOR FULL CONSIDERATION YOU MUST PRINT OUT THIS PAGE AND SUBMIT IT TO THE OFFICE FOR EDUCATION ABROAD (ACADEMIC SERVICE BUILDING 104, CSB) ASAP. SCANNED/FAXED COPIES ARE NOT VALID.
AGREEMENT AND WAIVER SIGNATURE FORM
By signing this document you authorize the program faculty director, assistant program director, and the staff of OEA at CSB/SJU to access your academic and disciplinary records and are confirming that you have read, understand, and agree to the terms on the following:
- 2014-15 Study Abroad Application (submitted online)
- Study Abroad Agreement and Waiver
- Study Abroad Student Handbook
- Study Abroad Cancellation Policies
I have read and understand the above documents and I agree to all terms and conditions of these documents made effective with the date of my signature recorded below.
Applicant's full name (Print)
(Signature of Applicant/Participant) Date
_____________________________ ____________ _____________________
(1st Choice Study Abroad Program) (Fall or Spring) CSB/SJU ID #
Acknowledgement of Parent/Guardian:
I am the parent/guardian of the above named Applicant/Participant. By my signature below I acknowledge that I have read the forgoing Study Abroad Agreement and Waiver and agree to the terms and conditions set forth therein.
Parent/Legal Guardian's full name (Print)
(*Signature of Parent/Legal Guardian) Date
*Parent or Guardian signature is necessary unless the student is not considered a dependent for federal income tax or financial aid purposes.