Guest Waiver

Student Status*
Are you currently a student at Whittier College?

Welcome to the GUEST traveler form. This waiver is for students or guests considering travel on a Whittier College sponsored program but who are not enrolled in a course. This will take you about 10 minutes and you should be on a computer with a keyboard to complete the process so that you can write your application letter to the professor and OIP.
Name*
First Last
Your Email*
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Phone*

Dates of Travel
Location Begin Travel End Travel
Description
Please tell us a little bit about you and your goals for joining a Whittier College abroad course/experience.

Waivers and Agreements*
We ask guest to abide by the same rules as students. In cases where not specified, the term student is also synonymous with “guest,” “participant” or similar.
INFO SHARING, STUDENT CONDUCT, PASSPORT AND MEDICAL INFORMATION WAIVER

Contents

SPONSOR RELEASE

DISCIPLINARY INFORMATION SHARING AGREEMENT

ACKNOWLEDGEMENT OF STUDENT CONDUCT REQUIREMENTS

PASSPORT REQUIREMENTS

MEDICAL INFORMATION WAIVER

CELL PHONE COMMUNICATIONS

Please read the following carefully and, if you voluntarily agree, click on the box below.

DISCIPLINARY INFORMATION SHARING AGREEMENT

I, the undersigned, hereby voluntarily authorize verbal and written communication between the Whittier College Office of International Programs, Academic Affairs and the Office of Residential Life/Student Conduct, the Dean of Students Office or other campus or non-campus authorities for the best interest of the traveler and/or the group.

ACKNOWLEDGEMENT OF STUDENT CONDUCT REQUIREMENTS

Whittier College, through the Office of International Programs, has the authority to establish rules and guidelines necessary for the operation of study abroad/travel programs. It is essential that all participants understand and respect norms of conduct that may be different from standards at home. In addition, Whittier College students/guests who participate in Whittier sponsored or affiliated Study Abroad Programs will be held responsible for all rules of conduct as outlined in written form in the Whittier College Student Conduct Code.

Whittier College reserves the right to withdraw any student or guest at any time for reasons of inappropriate behavior, danger to self or others, unsatisfactory academic standing, academic dishonesty or any violation of the Whittier College Student Conduct Code.

In addition to the Student Conduct Code, students are expected to comply with the following regulations in the host country as well as when traveling to other countries:
- Students or guests must maintain a satisfactory standard of academic work in the study abroad program and behave responsibly in their living situation and on group excursions or travel
- Violent behavior will result in automatic withdrawal from the study abroad program. Sexual misconduct disruptive to the program or offensive to the host culture similarly merits dismissal.
- Being deemed a threat to oneself or others will result in withdrawal from the study abroad program and a required return home at one’s expense.
- The possession, use, sale, distribution or production of narcotics or other illegal drugs, or acting as an accessory, liaison or facilitator for any of the above will not be tolerated and could result in automatic withdrawal and immediate expulsion from the Program and/or Whittier College. U.S. law states that possession of any drug is illegal and punishable by fine, imprisonment and/or deportation.
- Breaches of the local law of the host country are referred to the requisite local law enforcement authority. This provision is applicable to all countries visited by the Study Abroad Participant.
- Whittier College will not defend, pay legal fees, or otherwise intervene legally for a student who encounters legal trouble abroad.
- Students or guests in breach of our rules of conduct or other rules or expectations (explicit or implicit) may be expelled and sent home at their own expense.
I understand that as a Whittier College student, I will be regarded as a representative of my university and country. It is my intention to act as a goodwill ambassador and conduct myself in an appropriate manner. I have read these rules and agree to abide by these regulations. I also agree to comply with the Student Conduct Code during my period of residence abroad while enrolled as a Whittier College Study Abroad Student. I understand that violation of these policies will lead to academic probation, suspension or expulsion from the program and possibly disciplinary action by Whittier College and/or the host institution/program. Additionally, I understand that if I fail to comply with said policies, upon my return to Whittier College additional disciplinary action by Whittier might be instituted affecting my status as a student.

PASSPORT REQUIREMENTS

A valid passport is required for international travel. A passport that is damaged or expired IS NOT valid.

By signing or acknowledging this agreement, you agree that you understand and voluntarily agree that:
- it is your responsibility to apply for a passport as soon as possible;
- any fees associated with obtaining a passport are your responsibility.
- non-U.S. citizens will also need passports and likely have further specialized visa requirements between your country of citizenship and your destination country, and that OIP cannot advise or help in the process of visa acquisition for you You are personally and wholly responsible for fees, paperwork, travel or other necessary visa requirements in this case.
Any participant who has not provided valid passport information to the Office of International Programs by the relevant program’s indicated due date will not be permitted to participate in the faculty-led program.

Cancellation/Withdrawal and Refund policies will apply.

MEDICAL INFORMATION WAIVER

Medical information and records can only be released upon written permission of the specific student/patient or by court order. By agreeing below, I voluntarily authorize the release of my “Medical Record & History” for the duration of my time abroad and certify that I am the student/guest/patient named in this application. I understand there may be sensitive information within these records regarding my health and well-being. These records will only be accessed or communicate when it is deemed in the best interest (safety, physical or mental health, etc.) of the student/guest (you!) or the travel group.

CELL PHONE COMMUNICATIONS

In some cases it may be necessary to contact students by cell phone. By agreeing below you agree to accept any charges if contacted by text, sms, phone call or other.

PAYMENT

Guests and participants are expected to pay in full and in a timely manner. Deposit and refund policies are the same for all participants. Deposits are non-refundable and refund of additional payments are reduced beginning 105 days prior to first day of travel. Please contact our office for more information.
- I have read and voluntarily agree to the terms.

Acknowledgement of Risks*
LIABILITY WAIVER, ACKNOWLEDGEMENT OF RISK AND RESPONSIBILITY PARTS A and B

LIABILITY WAIVER, ACKNOWLEDGEMENT OF RISK AND RESPONSIBILITY (A)

Whittier College seeks to provide educational opportunities that provide academically sound learning experiences that have a high regard for the welfare and safety of the participants. The official representative(s) of Whittier College will uphold rules and regulations for the conduct of the participants to reasonably safeguard the health, well-being, and safety of the student. Participation in this program is voluntary and there are certain inherent risks that the participant must assume.

I am aware that my participation in the program to which I have applied involves potential risks of personal injury, property damage and other associated risks. I voluntarily choose to participate in this program and I freely agree to assume and take on full responsibility for any such risks of loss, property damage or personal injury, including death that may be sustained by me as a result of participation in the program noted above.

In consideration of the College’s efforts in making this educational program available and my being allowed to participate, I hereby agree to release, indemnify, hold harmless and forever discharge Whittier College, its trustees, officers, employees and agents, from any and all claims and causes of action which might be brought by me or my parents or dependents on my behalf for loss of property, personal injury or death sustained by me arising out of any travel or activity conducted during the period of my participation in the above named program. I understand that this release covers liability claims and actions caused entirely or in part by any acts or failures to act of the College (or its trustees, employees, or agents), including, but not limited to negligence, mistake or failure to supervise by the College.

I agree to indemnify Whittier College for any loss or costs, including medical bills, court costs and attorneys’ fees, that it might incur due to injury or damage resulting from my participation in this program.

It is my intent that this agreement shall bind the members of my family (and spouse, if applicable), if I am alive, and my heirs, assigns, and personal representative, if I am deceased. This Agreement shall be deemed as a release and consent not to sue regarding any claims these parties may have against Whittier College relating to my participation in this program.

I agree that as a registered student of Whittier College and/or as a participant in this program, I am bound by all College rules and regulations regarding student academic and social conduct, including but not limited to the Whittier College Student Code of Rights and Responsibilities.

This Agreement shall be construed in accordance with the laws of the State of California.

In signing this Agreement, I acknowledge that I have read it and understand it, I agree to be legally bound by it and that I sign it voluntarily.

ACKNOWLEDGEMENT OF RISKS (B)

By agreeing/signing below, I acknowledge that I understand and am willing to take the risks of traveling with this group or as an individual. These risks include but are not limited to:
- air travel, bus travel; public transportation;
- acts of terror and threats of terror
- walking in city streets or rural hilly locations;
- site visits to various locations;
- sleeping in hotels, homestays, hostels, or other third-party accommodations;
- physical exertion;
- exposure to parasites, viruses or other flora or fauna that may pose heath risks;
- exposure to different kinds of foods or unlabeled foods that pose the risk of allergic reaction;
- exposure to different laws, customs, mores and social expectations;
- subjection to different laws, customs, mores and social expectations;
- limited to no access to healthcare, mental health support or other support services while abroad;
- etc.
I also agree that is my responsibility to research health and safety matters of concern to me.

Further, I acknowledge that I willingly and voluntarily engage in this trip and agree to abide by the college’s rules and policies, as well as local and international laws.
- I have read and voluntarily agree to the terms
Emergency Contact
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Location	Begin Travel	End Travel

Guest Waiver

Step 1 of 5 – Name and Background

DISCIPLINARY INFORMATION SHARING AGREEMENT

ACKNOWLEDGEMENT OF STUDENT CONDUCT REQUIREMENTS

PASSPORT REQUIREMENTS

MEDICAL INFORMATION WAIVER