Student Agreement Form for National and International Travel

College of Saint Mary
Student Agreement Form for National and International Travel
This Agreement is signed and given by the undersigned to the appropriate
Vice President at College of Saint Mary in consideration for the opportunity to
participate in CSM-sponsored travel that involves at least one overnight stay.
Participation in this trip is considered to be both an honor and a
responsibility. I understand that I am representing College of Saint Mary and
my behavior during this experience is a direct reflection upon the College. I
will attend and actively contribute to all parts of this experience, including
participating in all pre-trip and post-trip meetings.
I will act responsibly and professionally during scheduled and free time. I
understand that the College of Saint Mary Student Handbook and Code of
Conduct are in full effect during the entire trip. I will obey all state and U.S
laws, laws of the countries I am visiting, as well as College policies and
regulations. If I am under the age of 21, I agree that I will not consume
alcohol. If 21 or older, I will not provide alcohol to minors. If I am 21 or older
and choose to consume alcohol, I will do so only under circumstances
congruent with the educational purposes of the trip as determined by the
Facilitator(s) prior to the trip. I will be subject to College discipline if my
behavior generates disorder, creates disturbance, damages property, or
presents a danger to myself or others.
I understand that the Facilitator(s) have the authority to send me home at
my own expense for violating this agreement, state laws, or the laws of the
United States. I respect the authority and responsibility of the Facilitator(s)
and will abide by their decisions.
National and International Travel sponsored by College of Saint Mary ends on
the last scheduled day of the trip—upon return to the final destination stated
in the itinerary. I will return with my group unless prior arrangements have
been made and approved by the College. College of Saint Mary is not
responsible for any student electing to remain at a site, or travel to another
destination after the trip.
Safety is a primary concern. I will promote a safe environment and
understand that some aspects of the trip may be changed or canceled to
address safety.
In order to promote communication among group members, I agree to limit
cell phone, computer, and other electronics use to emergencies and to free
time. I will turn my cell phone off during presentations and other scheduled
time.
Health Insurance Section: (please complete either option 1 or 2) 1) I possess
health insurance. My policy is through
_________________________________________ (name of insurance
company) and
my policy number is _________________________________. I understand
that I am responsible for meeting the deductible on my insurance.
OR