UNIVERSITY OF NEVADA, RENO STUDENTAGREEMENT

FOR INTERNATIONAL TRAVEL

I, ______, am a student at the University of Nevada, Reno (“University”), a member institution of the Nevada System of Higher Education (“Nevada”). I wish to participate in an international travel program with the University Department/Club/Programin ___(Country)____during the _________ (semester and year) semester (the “Travel Program”). As part of the Travel Program, I will be traveling from Nevada to, from, and within ____(Country)_____. I am not required to participate in this Travel Program. My participation in the Travel Program is wholly voluntary. In consideration of the University’s agreement to permit me to participate in the Travel Program, I agree as follows:

  1. Academic Requirements.
  1. I am responsible for all academic requirements, including but not limited to class attendance and classroom work, homework assignments, projects, field trips, and exams and that my academic standing will be governed by the University rules governing academic records and enrollment.
  1. Student Conduct.
  1. I understand and agree that the University’s Student Code of Conduct applies to my participation in the Travel Program and that I may be suspended, expelled or otherwise disciplined in accordance with the Student Code of Conduct and the University’s rules for any of my conduct that is in violation of the Student Code of Conduct and the University rules.
  1. I understand and agree to follow all applicable rules, regulations and policies of each institution and location of the Travel Program.
  1. I shall not engage in illegal drug use, alcohol abuse, or physical violence during the Travel Program. I understand and agree that if I violate the Student Code of Conduct or University rules regarding physical violence, the use or possession of alcoholic beverages or illegal or unauthorized drugs and drug paraphernalia, I may be subject to discipline in accordance with the Student Code of Conduct and the University rules. I further understand that if I engage in illegal drug use, alcohol abuse, or physical violence during the Travel Program or if I violatethe laws of the country in which I am located or the University Student Code of Conduct or University rules, and the Travel Leader, in his or her sole discretion determines that my health, safety, or welfare is at risk or that the health, safety, or welfare of others is at risk, I may be withdrawn from the Travel Program and I shall return to the United States. I may lose all credit for classes in which I was enrolled. I remain responsible for and shall pay all fees and expenses.
  1. Financial Requirements. I am responsible for payment of all tuition, fees, books, travel expenses, room and board, medical expenses, hotels, charges for travel changes, and cancellation fees associated with the Travel Program (“Fees”). I understand that a registration hold may be placed on my records if all fees associated with my participation in this Travel Program have not been paid.
  1. Registration with the Smart Traveler Enrollment Program. I understand that the University requires me to register my travel with the Smart Traveler Enrollment Program (STEP) offered by the U.S. State Department before I can participate in the Travel Program. I agree to provide written notification of my enrollment in STEP to the Travel Leader.
  1. Cancellation of Participation in Program. I understand and agree that if I desire to cancel my participation in this Travel Program, I mustprovide written notice of cancellation to the Travel Leader.
  1. Student Health
  1. I am responsible for working in advance with the health care professionals to plan for all my health care needs abroad during the Travel Program.
  1. I am responsible for truthfully completing and submitting to the TravelLeader a health history on the Travel Program Health and Safety Clearance forms.
  1. I understand and agree that if I am in need of an accommodation, I am responsible for contacting the University’s Disability Resource Center (“DRC”), making a written request for an accommodation, and providing the medical and other documentation necessary and/or requested in order for the DRC to review my request. I acknowledge and understand that an accommodation may not be available at the international location of the Travel Program and further understand that efforts will be made to provide appropriate alternative accommodation.
  1. I understand and acknowledge that in the event I do not make a timely written request for an accommodation or do not timely inform theTravel Leaderof my medical or psychological needs, my participation in the Travel Program may be delayed.
  1. I understand and agree that if during the Travel Program, the Travel Leader makes a good faith determination that my continued health, safety, or welfare or the continued health, safety, or welfare of others is jeopardized by my continued participation in the Travel Program, I shall be removed or expelled from the Travel Program, I shall return to the United States, and I may lose credit for the classes in which I was enrolled. In the event of removal or expulsion, I shall be responsible for all Fees and expenses.
  1. If, during my participation in the Travel Program, I become incapacitated or I am otherwise unable to provide consent to medical treatment, I hereby give consent to medical treatment and medical treatment may be performed when, in the opinion of competent medical personnel, my health, safety, or welfare will be adversely affected by the lack of treatment or delay in treatment. In such an event, I authorize the Travel Program’s designated representative to provide consent on my behalf for my medical treatment.
  1. Disclosure of Information
  1. I understand and agree that the Travel Leader or the University may contact my parent/guardian or other designated emergency contact, and disclose otherwise confidential or private information, including, but not limited to medical information, if such disclosure is necessary or desirable in order to assist or resolve an emergency involving me while travelling abroad.
  1. I understand and give permission to the University to share information with my parents or guardians as necessary for my health and safety in the sole judgment and discretion of the University.
  1. Insurance.
  1. I understand and acknowledge that neither the University nor the Travel Program will provide health or travel insurance coverage to me during any aspect of my participation in the Travel Program. I understand and agree that I will be responsible to obtain and purchase a comprehensive international travel insurance policy (separate from my domestic standard health insurance policy) which provides accident and illness benefits for any illnesses or injuries that I sustain or experience overseas, and, more specifically, in the country that I will be living and/or traveling while on the Travel Program. I understand that my travel insurance policy must include the following minimum benefits: emergency hospital deposits, repatriation services and emergency medical evacuation services. I understand it is recommended that this insurance also include trip interruption and cancellation coverage, personal liability coverage and standard travel assistance services. I hereby represent and warrant that my travel insurance policy will adequately cover me while outside the United States.
  1. I understand and acknowledge that I am responsible for paying for any insurance for whatever nature for period before and after the Travel Program.
  1. Orientation. I shall attend and participate in the pre-departure orientation meeting(s) and activities of the Travel Program. I shall attend and participate in the orientation meeting(s) and activities upon arrival at the international location of the Travel Program.
  1. Sexual Harassment or Discrimination by Student. While participating in the Travel Program, I will not discriminate against any employee, agent, leader, member or participant of the Travel Program on the basis of a person's age, disability, whether actual or perceived by others (including service-connected disabilities), gender (including pregnancy related condition), military status or military obligations, sexual orientation, gender identity or expression, genetic information, national origin, race or religion. Similarly, while participating in the Travel Program, I will not make any unwelcome verbal or physical conduct that is sexual in nature, personally offensive and interferes with the learning experience or academic environmentof anyemployee, agent, leader, memberparticipant of the Travel Program.
  1. Sexual Harassment or Discrimination of Student. No employee or student, either in the workplace or in the academic environment, should be subject to unwelcome verbal or physical conduct that is sexual in nature. Similarly, no employee or student, either in the workplace or in the academic environment, should be discriminated against on the basis of age, disability, whether actual or perceived by others (including service-connected disabilities), gender (including pregnancy related condition), military status or military obligations, sexual orientation, gender identity or expression, genetic information, national origin, race or religion. If I feel that I have been subjected to sexual harassment or discrimination by anyone participating in or affiliated with the Travel Program, I understand I should promptly notify the Travel Leader or the University’s Director of the Equal Opportunity and Title IX Office.
  1. Waiver, Release and Indemnification. I agree to sign a waiver, release and indemnification agreement on behalf of the University in connection with the Travel Program.
  1. Law of the State of Nevada. This agreement shall be construed under the laws of the State of Nevada, including the provisions of the Nevada Revised Statues Chapter 41. Any lawsuit filed under or incident to this Agreement shall be filed only in the courts located in Washoe County, Nevada.
  1. Severability. I understand and agree that if any portion of this Agreement is held invalid, the remainder of the Agreement shall continue in full legal force and effect. In signing this Agreement, I hereby acknowledge that I have read this entire Agreement that I understand its terms, that by signing it I am giving up substantial legal rights I might otherwise have, and that I have signed it knowingly and voluntarily.

I hereby acknowledge that I have read, understand, agree to and shall abide by each of the terms and conditions of this Agreement. No representations, statements, or oral or written inducements have been made.

Date: ______

Printed Name: ______

Signature: ______

If student is under 18 years of age, a parent or legal guardian must also read and sign this form.

I hereby state that: I am the parent or legal guardian of the above student; I have read the foregoing Student Agreement for International Travel; I am and will be legally responsible for the obligations and acts of the student as described in this Student Agreement for International Travel; and I agree, for myself and for the student, to be bound by the terms of the Student Agreement for International Travel.

Date:______

Name of Parent or Legal Guardian: ______

Signature of Parent or Legal Guardian: ______

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