Exchange Program Emergency Contact Form

This form provides Longwood University's Office of International Affairs contact information for people you would like us to contact in case of an emergency. All students studying abroad on an exchange program with one of Longwood's partner institutions MUST complete this form before going abroad. Any student who does not FULLY complete this form may not be approved to depart for their study abroad trip. If you are not going on an exchange program with one of Longwood's partner institutions, DO NOT complete this form.
* Required