Chatham Maymester 2015 Faculty Led Field Experience Application

Applications must be complete and submitted by 4 PM on Tuesday, October 21, 2014.

If you are accepted and agree to participate in a Maymester 2015 Field Experience you also agree to 1) enroll in the corresponding spring 2015 prerequiste course; 2) initial, sign and return the Contract for 2015 Field Experiences to the Office of International Affairs by 4 pm on November 4, 2014; and 3) submit your $100 nonrefundable deposit to OIA by 4 pm on November 4, 2014.

Each Maymester 2015 Faculty Led Field Experience must meet its minimum enrollment number or it will be cancelled.

Questions? Please contact the Office of International Affairs, internationalaffairs@chatham.edu or 412-365-1388. Please direct questions regarding specific field experiences to the faculty leader(s).

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    Program Information

    Due to minimum and maximum enrollment numbers, students may not be offered their first choice program.
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    Academic Information

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    Travel Document Information

    Field experience participants are responsible for obtaining a passport by January 16, 2015 and any necessary visas prior to travel. The Office of International Affairs does not process or issue travel visas for students. All travelers should check the embassy web page of the countries they plan to visit for updated visa and travel requirements.
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    Emergency Contacts

    Your emergency contacts must be able to act on your behalf in case of your incapacitation.

    First Emergency Contact

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    Second Emergency Contact

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    Medical Information

    Please fill out this form completely. Maymester field experiences have varying levels of physical and cultural activities and requirements. If you have questions about a particular field experience, please contact the program leader. Although this information is confidential and does not affect your candidacy for a Chatham Field Experience, Chatham University has the right to ask for further clarification of condition and/or proof of physical fitness for participation in a Maymester Field Experience. Please note that some travel destinations require immunizations. Please visit the Center for Disease Control (CDC) at http://wwwnc.cdc.gov/travel or the Allegheny County Health Department at http://www.achd.net/infectd/travel.php for recommendations on immunizations and/or medications for travel.
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    Health insurance information

    Please check your health insurance policy to see what coverage it provides for medical services abroad. See whether your plan pays the provider in the host country directly or if you must pay yourself and seek reimbursement later.
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    Any other issues or needs to share?

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    Student Affirmation

    By signing below, you agree that you have read and understood the guidelines regarding Chatham University Maymester 2015 Faculty Led Field Experiences and that all information you have provided is correct to the best of your knowledge. If you are accepted and you agree to participate in a Chatham Maymester 2015 Field Experience, you: 1. Agree to attend all mandatory predeparture orientations held by the program leader(s) and Chatham's Office of International Affairs; 2. Agree to adhere to all program rules and safety measures as outlined by your program leader(s) and Chatham's Office of International Affairs; and 3. Will be held accountable to the Chatham Honor Code, to all current Chatham academic regulations and to graduation requirements as outlined in the appropriate catalog(s).
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