california state university, stanislaus study abroad ......30. for programs that do not use the...

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California State University, Stanislaus

Study Abroad Course and Program Planning and Approval Process

Course and Program Requirements

Both state support and self-support Study Abroad courses and programs at CSU Stanislaus are under the direction of

the Office of International Education in Academic Affairs. Course and Program approvals are made through the

Office of the Provost, in consultation with the University Risk Management Officer and the Office of International Education (OIE), followed by review by the Chancellor’s Office and signature by the President. The CSU Stanislaus

Study Abroad Course and Program Requirements are formed by and adhere to the most current CSU Executive

Orders (Appendix G) and WASC policies.

Guidelines for Program Planning

The following guidelines are to be observed when planning Study Abroad courses or programs and are sourced from

the WASC “Principles of Good Practice in Overseas International Education Programs for non-US Nationals,”

http://www.wascsenior.org/findit/files/forms/GoodPracticeInternational.pdf and reference WASC Standards and

Criteria for Review (CFR).

General

1. All off-campus and other special programs providing academic credit are integral parts of The institution and maintain the same academic standards as regular campus programs (Standard 1).

2. The faculty of the accredited institution exercises central responsibility for the academic programs,

quality, and character of overseas programs. The faculty has the major role in design and

implementation of the curriculum. (CFR 3.11)

3. Each overseas program shall have a core of fulltime faculty whose primary employment obligation is

to teaching and research at the institution. (CFR 3.2)

4. All undergraduate programs shall include a general education segment. (CFR 2.2 and Guideline)

5. Overseas programs provide library services and hold readily available basic collections at all program

sites. Interlibrary loan or contractual use arrangements may be used to supplement basic holdings, but

are not used as the main source of learning resources. (CFR 3.6)

Institutional Mission

6. Study Abroad courses and/or program are rooted in the CSU Stanislaus stated mission and purposes.

7. The faculty and administration of CSU Stanislaus understand the relationship of the Study Abroad

courses and/or program to the institution’s stated mission and purposes.

Authorization

8. Study Abroad courses and/or program must receive all appropriate internal institutional approvals and

external approvals where required, including University Risk Management Officer, Office of

International Education, Office of the Provost, Chancellor’s Office, and Office of the President.

Instructional Programs 9. The Study Abroad courses and/or program must specify the academic prerequisites and the educational

needs to be met by the courses and/or program.

10. The Study Abroad undergraduate courses and/or program will reflect a commitment to general

education.

11. The Study Abroad courses and/or program will be taught by faculty with appropriate academic

preparation and language proficiencies.

12. Colleges or Departments identify and maintain a current listing of all course or programs that include a

Study Abroad component. 13. Student achievement in the Study Abroad courses and/or program will be equivalent to the standard of

student achievement on the CSU Stanislaus and Stockton campuses.

14. The Study Abroad courses and/or program, where possible and appropriate, will be adapted to the

culture of the host country.

http://www.wascsenior.org/findit/files/forms/GoodPracticeInternational.pdf

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15. The Office of International Education and the International Education Advisory Committee will

evaluate each Study Abroad course and programs. The evaluation data will be reviewed and

appropriate changes will inform the regular planning process.

Resources and Environment

16. Ideally, a pre-trip evaluation includes a pre-trip site visit. The written evaluation should be retained by the qualifying department and be available for review. The pre-trip site visit can be bypassed if the trip

coordinator can demonstrate and document sufficient knowledge of the field trip site. This could be

accomplished by review of online and/or published materials, or by contacting the site to discuss the

visit.

17. The Study Abroad courses and/or program will ensure, as described in a Memorandum of Agreement,

the use of adequate physical facilities, including classrooms, offices, libraries, and laboratories, and

provides access to computer facilities where appropriate.

18. The Study Abroad courses and/or program will provide a supportive environment for student

development consistent with the culture and mores of the international setting.

Academic Records

19. All college-level academic credits earned in the Study Abroad courses and/or program are to be applicable to degree programs at CSU Stanislaus. Academic credit awarded must adhere to the current

University, CSU, and WASC policies on Credit Hours.

20. CSU Stanislaus will maintain the official records of academic credit earned in Study Abroad courses

and/or program.

21. The official transcripts of record issued by CSU Stanislaus will follow the University’s practices in

identifying by site or through course numbering the credits earned in the Study Abroad courses and/or

program.

Student Applications

22. The Study Abroad courses and/or program will be open to the broadest number of qualified students.

In the case of disabled students who apply to participate, all questions should be referred to Disability Resource Services. If reasonable accommodation can be made to allow specified disabled students to

participate safely in the program, Disability Resource Services will make such recommendation to the

Program Director.

23. Academic and personal qualifications for student participation must be defined in the selection criteria.

24. Proficiency requirements will be clearly specified, including language proficiency requirements when

appropriate, as well as defined methods of testing proficiency.

25. A student orientation must provide, at a minimum, the following:

a. student emergency contact information prior to the Study Abroad trip;

b. a plan to accommodate students with special needs;

c. training for any equipment that may be used on the activity;

d. medical requirements (e.g., immunizations, physical challenges of the program or its

environment); e. procedures to follow in reporting accident, illness, or injury;

f. safety/health issues relevant to the instructional site, including traffic hazards, the “bad part of

town,” animals, water, food, avoidance of political demonstrations, use of unvented heaters,

and other issues that might be unfamiliar to students;

g. home stay behavior and responsibilities;

h. behavior appropriate to the local culture;

i. what is or is not considered sexual harassment in the local culture; of special concern are

actions or dress that might be interpreted as inviting unwanted sexual overtures;

j. estimated expenses beyond the basic program cost, e.g. optional side trips, admissions (to

museums, concerts, etc.), special food costs, taxis, and incidentals. Students should also be

made aware of the availability of ATMs and other ways to access money from home; k. essential items for students to bring, including linens or sleeping bags, if necessary;

l. use of local transportation;

m. how to get in touch with a program leader or responsible alternate in case of emergency, 24

hours a day; and

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n. how to use the telephone system, including purchasing a phone card, at the program site.

26. A debriefing activity will occur after return, providing for student reflections on their experiences.

Evaluation activities, both through discussion and through written evaluations will occur at this time

also. Faculty and student evaluations are to be submitted to the Office of International Education

within 90 days of the completion of the program.

Faculty

27. In order to take a group of students out of the country, faculty must be appointed in writing by the

Provost. For projects involving a faculty team, each faculty member must have a separate letter of

appointment.

28. Faculty from other institutions who will provide formal leadership or instruction in this program must

go through the review process also.

29. Faculty are required to participate in a pre-departure discussion of procedures and liability issues to be

scheduled by the Office of International Education.

30. For programs that do not use the services of a host campus that provides counseling and supervisory

services, the faculty director may be required to function in that role.

31. Faculty will inform students in the in Study Abroad courses and/or program as to services that will or

will not be provided. 32. An emergency is defined as the following:

a. any physical or mental condition requiring hospitalization of a student or faculty member;

b. any local condition (e.g., weather, political tension, epidemic) which is capable of causing

harm to your students whether or not such harm has occurred (this provision will allow the

university to answers questions of families, friends and the press);

c. any incident involving law enforcement; and

d. any incident which causes a faculty member to dismiss, or seriously consider dismissing,

a student from the program.

33. Faculty are required to take a copy of campus phone numbers and a file of student emergency contact

numbers to call in case of emergency. Campus emergency contact numbers:

During business hours: Director, Office of International Education: 209-667-3117 After business hours: Risk Manager Amy Thomas: 209-620-6492

The principle to follow is that campus officials are a resource in an emergency and that they are to be

kept fully informed of anything about which students’ families or the press will be concerned. When

in doubt, call. A campus “telephone tree” will ensure that other essential campus officers are

informed.

34. Faculty will take the following documents:

a. file of the students’ emergency contact information;

b. copy of campus phone numbers, including campus emergency contact numbers;

c. photocopy of each student’s passport; and

d. copy of the signed Student Off-Campus Program Agreement for each student.

Public Disclosure and Ethics 35. The Office of International Education will ensure that all media presentations about the Study Abroad

courses and/or program are factual, fair, and accurate to include academic, financial, and personal

commitments required from students. Recruitment materials must include a statement of non-

discrimination. 36. Personal relationships between faculty and students are to be guided by the principles outlined in the

CSU Stanislaus 13/AS/11/FAC/SEC Power Disparity Policy.

Travel Planning

37. The program must provide for round-trip transportation beginning and ending at the CSU Stanislaus

campus. Students who choose to arrange their own transport for any segment of the trip must sign a

waiver of liability form (included in Student Off-Campus Program Agreement). Provide these students

with instructions as to how/where to meet the group if they are traveling independently outbound.

38. Each student must sign a Student Off-Campus Program Agreement (Appendix F). This agreement includes a general waiver of liability, guidelines for refunds, parental permission for medical treatment

of students under 18, and adult students’ permission for medical treatment, in case a student should

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become unconscious as a result of accident or illness. This contract must also be signed by the Director

of Procurement Services and filed with the Office of International Education.

39. Lodging: Faculty leaders are required to survey lodging provided by the program for safety (including

fire safety) and cleanliness. If students are required to find their own lodging, such must be made clear

in program information materials.

40. Itinerary: Turn in a chronological itinerary to Office of International Education prior to departure, including contact information (especially telephone numbers), at each location. The University must

have a reliable way to get in touch with the faculty director in case emergency contact should be

necessary. Any alteration to the itinerary while abroad, including change of hotel or telephone

numbers, must be communicated to Office of International Education immediately.

Risk Management:

41. Emergency services information: For each stop on the itinerary, provide the following to Office of

International Education:

a. Address and telephone number of the nearest full-service medical facility and how to arrange

to have an injured student taken there;

b. The world-wide number provided by the overseas medical insurance company to call (in case

a student needs medical evacuation). c. The number and the name of a contact person at the nearest U.S. Embassy or Consulate (in

case a student should disappear, die, or be arrested).

42. Signed copies of the Student Off-Campus Program Agreement (Appendix F). The faculty director

should take copies when leaving the country.

43. Insurance covering medical care, air travel, evacuation, and repatriation is required. All students must

register for the Foreign Travel Insurance Program (FTIP). For information, read and follow the steps

on the CSU Stanislaus Risk Management website:

http://www.csustan.edu/RiskManagement/InternationalTravel/ForeignTravelInsProgram.html

44. For trips longer than 30 days, travel health insurance must also be purchased. The cost of insurance

must be included in the program fee. Information about insurance is available at the Office of

International Education. Three weeks before departure, the Program Director will submit completed copies of the Foreign Travel Insurance Registration Form for each student. For trips longer than 30

days, the Program Director will also submit evidence that each student has purchased insurance.

45. A photocopy of each student’s passport (or other acceptable documentation) will be on file with the

Office of International Education before departure. The faculty leader must keep a copy as well.

Financial Management:

46. All programs must be self-supporting.

47. Faculty-led study abroad programs must be administered in one of two ways:

a. by the academic department of the faculty leader, or b. by University Extended Education (UEE).

48. The administering office performs the following:

a. contractual arrangements with program providers,

b. maintenance of program budget,

c. completion of study abroad approval and risk management process,

d. publicity and recruitment, and

e. student application process.

49. Three weeks prior to department submit an authorized travel request sent to Accounts Payable/Travel.

50. Keep and turn in all receipts as required for travel reimbursement for financial accounting purposes.

51. For a semester or year-long program, make arrangements for access and distribution of financial aid.

Approval Process

52. The International Education Advisory Committee will review all proposals, including

a. Ensuring that appropriate resources are available for the proposed activity.

b. Evaluation of the risks of the proposed activity, and the agreement and balancing the benefits

of the proposed activity against the risks.

c. Review of applicable host country legal requirements for the proposed activity.

https://outlook.csustan.edu/exchweb/bin/redir.asp?URL=http://www.csustan.edu/RiskManagement/InternationalTravel/ForeignTravelInsProgram.html

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d. Coordination with the systemwide Office of Risk Management to ensure that appropriate

insurance has been procured for the activities involved.

53. The International Education Advisory Committee will review all proposals, considering the health,

safety and security of students, staff, and faculty as a central feature of planning and operation and

must:

a. Not operate in countries where there is a U.S. State Department “Travel Warning” unless an exception is granted by the chancellor.

b. Provide a training session for staff or faculty who will lead programs abroad. This training

should include emergency response training, communication from abroad, student conduct

code, alcohol and drug policy, and disciplinary procedures in addition to other country or

program specific information.

c. Provide prospective students with information about the program, including location,

duration, academic program, and total cost.

d. Include a pre-departure orientation about the destination including health, safety, security,

specific legal exposure or political restrictions related to their status in the country, CSU or

campus policies and procedures for study abroad, and financial information.

e. Require students to carry medical insurance including medical evacuation and repatriation

coverage that will be valid in the host country(ies). f. Advise appropriate host country authorities of the program where appropriate or required,

including locations, duration, and academic program.

54. Upon approval by the International Education Advisory Committee, the proposal will be reviewed and

approved by the Provost.

55. Upon approval by the Provost, the Office of International Education will submit the proposal to the

Chancellor’s Office for review.

56. Upon successful review by the Chancellor’s Office, the proposal will be submitted to the President for

review and approval.


Study Abroad Course Program Planning and Approval Process

One (1) year prior to departure:

1. The faculty leader will submit an initial proposal to the appropriate College Dean.

2. The Dean will forward the proposal to the Director of International Education who will review the proposal

and make a recommendation for initial program approval to the Provost. 3. Initial approval of the proposal authorizes the Program Director to begin program planning.

Initial approval does not give authorization to take students out of the country.

Program Approval Packet: The following documents are to be submitted to the Office of International Education (OIE) at the intervals noted

prior to departure. Faculty leaders are strongly advised to consult with the OIE Director in the process of gathering

the required documentation.

Eight (8) months prior to departure:

Submit the following to the Office of International Education:

4. Study Abroad Program Approval Checklist (Appendix A) (To be completed by the Office of International Education as documents are submitted)

5. Study Abroad Program Cover Sheet with approving signatures of department chair and college dean

(Appendix B)

6. Faculty Application Form (Appendix C)

7. Detailed Narrative Description of the Program (Appendix D)

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Seven (7) months prior to departure:

8. Review by the campus Risk Manager

9. Review by the International Education Advisory Committee

10. Upon approval by the Risk Manager and the International Education Advisory Committee, seek approval

by the Provost

Six (6) months prior to departure:

11. Office of International Education submits proposal to the Chancellor’s Office for review

Three (3) months prior to departure:

12. Complete Study Abroad Program Authorization, including, Chancellor’s Office approval, and President’s

signature.

One (1) month prior to departure:

13. Study Abroad Program Authorization (Appendix E)

14. Provost letter(s) of faculty appointment

15. Complete travel itinerary, including in-country emergency services contact information

16. A detailed program budget 17. Outline of a plan for evaluating all aspects of the program (e.g., academic, logistical, and cultural). The

evaluation data will be reviewed and will inform the regular planning process, including the decision to

repeat the program, should that be requested.

Three (3) weeks prior to departure:

18. Student Off-Campus Program Agreement (Appendix F) between each student and the University

19. Completed insurance application forms from all students

20. A photocopy of each student’s passport (or other legal document)

21. Authorized travel request submitted to Accounts Payable/Travel

Appendices: A. Study Abroad Program Approval Checklist

B. Study Abroad Program Cover Sheet

C. Faculty Application Form

D. Detailed Narrative Description of the Program

E. Study Abroad Program Authorization

F. Student Off-Campus Program Agreement

G. CSU Executive Orders pertaining to Study Abroad

Appendix A

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Study Abroad Program Approval Checklist To be maintained and completed in the Office of International Education

Title of Program: ____________________________________________

Date of Departure: ___________________________________________

Study Abroad Program Authorization Cover Sheet ___________

Faculty Application ___________

Detailed narrative description of the program ___________

Study Abroad Program Authorization ___________

Letter(s) of Faculty Appointment ___________

Complete travel itinerary ___________

Budget ___________

Outline of evaluation plan ___________

Signed Student Off-Campus Program Agreement for each student ___________

Completed insurance application forms ___________

Photocopy of each student’s passport or other legal document ___________

Copy of authorized travel request ___________

Appendix B

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Study Abroad Program Cover Sheet

Date of Submission:

Title of Proposed Program:

Name of Proposed Program Director:

Department: College:

Program Location:

Program Dates:

Course(s):

The course(s) will be allowed to begin on a start-up basis with a minimum of ________ students.

Expenses of the Program Director, including transportation, housing, meals, and other expenses, cannot be borne by

student participants. The source of this program support will be:

The date by which minimum course enrollment must be reached and confirmed to the college dean is:

Signatures:

Program Director : _______________________________________________ Date ________________

Department Chair: _______________________________________________ Date__________________________

College Dean: ___________________________________________________ Date_______________

Appendix C

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Faculty Application for Teaching Abroad

Name______________________________ Telephone_____________________ Email_______________________

University Rank_____________________ Department_____________________ College_____________________

Program and Course Title for which application is being made: __________________________________________

Please respond to the following, using the back or additional sheets as necessary: 1. Why are you interested in participating in this program?

2. Please comment on how you fulfill each of the qualifications listed on the attached Position Description.

3. List any previous international experience you have had.

4. Do you speak languages other than English? If yes, please list them and estimate your proficiency level in each.

5. Please comment on your willingness to be responsible for student welfare and on call during the duration of the

study program.

6. Are you applying to serve as Director of this program? If so, please list your qualifications.

7. Please list the names and telephone numbers of three references who can comment as to your suitability to lead

or assist in a study abroad program.

A curriculum vitae is not required, but may be attached if desired. Return your completed application to the

Office of International Education, SSB 145.

In signing, I certify that, given required program enrollment, assignment of the above-named faculty member to the

indicated study abroad program will not hinder this department or college from providing its regular academic

program.

(Signature of Faculty applicant) _____________________________________________ Date___________

(Signature of Department Chair) _____________________________________________Date___________

(Signature of College Dean) Date___________

Appendix D

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Detailed Narrative Description of the Program

Include a detailed narrative description of the program, including responses to the following questions:

a. What is the purpose of the program?

b. Where is the location of the program?

c. What evidence do you have to indicate student interest?

d. What is the curriculum, including contact hour information and relation of curriculum to location?

e. What are program dates and approximate daily schedule?

f. How will the program be staffed (include student/faculty ratio)?

g. Describe your experience in the host country and your qualifications to lead a program in that region.

h. Who will be responsible for in-country arrangements: Program provider or individual? Please provide

qualifications of responsible party.

i. What forms of transportation will be used, including flight arrangements and in-country

transportation?

j. What types of student housing and meal plans will be available?

k. What types of instructional facilities and support are required for the program, and what is the plan for

obtaining such facilities and support?

l. What are the eligibility criteria for student applicants?

m. Provide detailed breakdown of costs to students.

n. Provide detailed program budget.

o. What risks to health and safety have you identified? How will the risk(s) be reduced?

p. Does the country appear on the current CSU High Hazard Country list or on the State Department

Travel Warning list?

Appendix E

Rev 3/2012


Study Abroad Program Authorization

Title of the Study Abroad Program:

Name of Program Proposer: Department: College:

Name of Program Director: Department: College:

Other Participating Faculty (list names, departments, colleges, and other home institutions, if any, below):

Location of Study Abroad Program Site:

Program Dates:

Course Number(s) & Title(s) of Course(s):

“I certify that all the information given in this application is true.”

Signature of Program Director_______________________________________________ Date

Program Approvals:

Campus Risk Manager____________________________________________________ Date __________________

Director of International Education Date ________________

College Dean Date

Provost, Vice President for Academic Affairs Date

Chancellor’s Office _____________________________________________________Date ________________

President _____________________________________________________________ Date ________________

Appendix F

CSU Stanislaus Off-Campus Program Agreement of 29 Rev 11/1/2010

STUDENT OFF-CAMPUS PROGRAM AGREEMENT

CALIFORNIA STATE UNIVERSITY, STANISLAUS

This Agreement is entered into on the _________ day of ___________ 201_ by and between the

Trustees of the California State University, on behalf of California State University, Stanislaus,

hereafter called "University"; and ____________________________________ , hereafter called

“Student”. It is the intention of the University to provide for the participation by students in the

Off-Campus Program at _______________________________ hereinafter called “Program”.

Student desires to participate in such Program under the terms and conditions hereinafter set

forth and parties hereto agree as follows:

1. VOLUNTARY PARTICIPATION Participation in this Program is VOLUNTARY. Participation in this Program is not

mandatory for completion of degree requirements.

2. SERVICES PROVIDED BY UNIVERSITY a. University shall enroll Student in the Program if Student otherwise qualifies for

University enrollment.

b. University shall provide appropriate academic supervision for the Program offered

and shall grant academic credit if applicable. Program Director has visited the

Program location and/or has sufficient knowledge of the area to be the Program

Director.

c. University offers the Program as set out in Attachment A (Program Details) which is

hereby incorporated in this contract by reference thereto.

d. University will supply to Students participating in Programs in developing countries

information on required and recommended vaccinations, prophylaxes, and health

maintenance.

e. University will supply foreign travel liability insurance policy including (but

not limited to): primary general liability, primary/emergency medical expense,

emergency medical evacuation, trip cancellation.

3. SERVICES NOT PROVIDED BY UNIVERSITY

Student acknowledges and agrees that University is not furnishing and is not responsible for any

matters other than as specified in Section 2. The University is not furnishing and is not

responsible for and assumes no liability for the following:

a. Guarantee or assurance of safety of students and/or elimination of all risks from the

environment.

b. The safety of personal property during participation in the program. Student agrees

that the “University” (fully referenced above), and each and every officer, agent and

employee of each of them shall not be responsible for any injury, damage, or loss to

Student or Student’s property which occurs from any cause beyond the control of the

University or which does not occur from the sole negligence of the University.

c. Monitoring and/or control of all the daily personal decisions, choices, and activities of

the individual students.

d. Prevention of students from engaging in illegal, dangerous or unwise activities,

Appendix F


including but not limited to situations that may arise due to the failure of a student to

disclose pertinent information.

e. Assumption of responsibility for the actions of person not employed or otherwise

engaged by the University, for events that are not part of the program, or that are

beyond the control of the University and its subcontractors.

f. Assurances that home-country culture values and norms will apply in the host

country.

4. STUDENT RESPONSIBILITIES Student agrees as follows:

a. Student shall qualify for admission as a student for credit or audit in the University

extension or academic year course(s) offering this Program by satisfying all

requirements including payment of fees.

b. Student shall pay University by the dates specified the amounts set out on Attachment

A. Except as otherwise provided in this Agreement, any refund may be made at

the sole discretion of University. Student shall pay sums in addition to those

specified in Attachment A as may be necessary due to increases in charges by the

host country, host university, accommodation changes, fluctuation in United States

dollar exchange rates, or commitments made by Student while out of the country that

are subsequently discharged by University, and increases in fees or other charges

relating to enrollment in the CSU. Student shall pay any additional sums within 30

days notification by University.

c. Student shall pay the costs outlined in Attachment A under Participation Cost

Requirements. These costs include program tuition, transportation in the

foreign country, insurance and other fees.

d. It is understood that maximum participation in any group transportation arrange for

the Program is necessary to obtain the most favorable rates, departure dates, and

arrangements upon arrival at the Program location; therefore, when group

transportation is arranged, Student is expected to participate unless Student informs

University in writing of independent travel arrangements.

e. Student understands that he/she is responsible for payment of any expenses he/she

incurs during the course of the Program, including, but not limited to, medical costs

or expenses. Student should keep receipts for all such payments.

f. Student shall obtain and provide all materials, meet all deadlines, and otherwise

comply with all participation requirements established by the Program and the

University International Education Office including but not limited to passport, visa,

health insurance, and foreign travel insurance.

g. Student agrees to expend his/her best efforts in successfully completing the academic

requirements of the courses in which the Student enrolls.

h. Student agrees to submit a written health statement (Attachment B). Student

understands and agrees that it is Student’s responsibility to determine, in consultation

with competent medical authorities, whether or not Student should participate in the

Program. Student further agrees to conform to applicable partner institution health

regulations and/or host country medical examination requirements for visa

application.

Appendix F


i. Student agrees to carry and maintain emergency medical insurance, health insurance,

and travel insurance sufficient to meet all costs and expenses which might occur as

the result of injury sustained while traveling.

j. Student agrees to provide a signed form Attachment C, Voluntary Assumption of

Risk and Liability Waiver. Student understands that visiting or living in a foreign

country may involve health and other personal risks.

Student further agrees to hold harmless, defend and indemnify the State of California, the

Trustees of The California State University, California State University, Stanislaus and their

Auxiliaries, employees, officers, directors, volunteers and agents of each of them

(collectively “University”) from any and all loss, damage, or liability that may be suffered or

incurred by University, caused by, arising out of, or in any way connected with negligence on

the part of Student, his or her agents, or employees, in the performance of this agreement,

irrespective of whether such liability is also due to any negligence on the part of the State.

5. CONDUCT AND DISCIPLINE

It is understood between the parties that the international implications of this agreement are

such that the conduct of Student during the course of the program is of utmost importance.

Student, therefore, agrees to conform to standards of conduct consistent with the maintenance

of a positive reputation of The California State University and to conform to all applicable

rules, regulations and policies of the California State University, Stanislaus International

Education Office and any partner institution.

Student understands and agrees that in the event the Program Director determines, after

informing Student of the violation and discussing it with him or her, that the conduct or

academic standards of Student are detrimental to the best interests of the program, the

Director may terminate the participation of Student from the program. Such termination shall

not diminish or otherwise affect Student's obligations to make to University any payments

specified in this Agreement. University in no event shall be required to refund to Student any

payment made by Student to University, but may make such refunds as are consistent with

University policy. If misconduct occurs, no refund will be remitted.

Such actions include, but are not limited to, the following:

a. Threats or the use of physical violence

b. Violating the laws of the country or partner institution

c. Openly abusing the customs and mores of the community

d. Damage to or destruction of property of others

e. Alcohol or substance abuse

f. Harassment of any kind

g. Eviction from one’s lodging

h. Obstruction or disruption of teaching or other Program activities

i. Unauthorized absence from classes and/or from the Program itinerary

j. Exceed the number of unexcused absences from class allowed for the Program

k. Academic misconduct (cheating, fabrication forgery, plagiarism, or facilitating

academic dishonesty).

Appendix F


6. LAWS, REGULATIONS, AND REFUNDS

This Agreement is subject to applicable laws and regulations. If performance of this

Agreement involves violation of applicable law or regulation thereby making it legally

impossible to perform and such illegality is not the fault of Student, University shall refund

to Student those payments made pursuant to this Agreement which are authorized to be

refunded in Section 41802 of Title 5, California Administrative Code. Upon payment of said

refund, all rights of University and Student under this Agreement are waived.

7. TERM

This agreement is only for the term of the Program as presented on Attachment A. Upon

conclusion of the Program as stated this agreement automatically terminates.

8. AGREEMENT MODIFICATION AND/OR TERMINATION

a. This Agreement contains the sole and entire agreement between the University and

Student and shall supersede any and all other agreements between the parties. The

University and Student acknowledge and agree that any statements or representations

that may have hereto been made by either of them to the other are void and of no

effect and that neither of them has relied thereon in connection with his or her or its

dealings with the other.

b. University, in its sole discretion, may modify any terms of this Agreement as

necessary before Student’s departure (including but not limited to costs, dates, times,

methods of travel, schedules, sites, or elements or details of any program) as long as

any such modification contains a reasonably comparable substitution for the terms of

the Agreement.

c. University, in its sole discretion, may end this Agreement, and shall have no

obligation to place Student in any institution with which University, through its

Program, has contractual relations, provided that University returns to Student

payments made by Student, in accordance with Section 6 above, unless the

termination is in accordance to the terms of Section 5 above.

d. It is expressly understood by the parties to this Agreement that the University

reserves the right to terminate the Program at any time it deems the safety or welfare

of students is at risk.

9. NON-DISCRIMINATION

The University shall not deny the Program to any person on the basis of religion, color,

ethnic group identification, sex, age, or physical or mental disability.

10. GOVERNING LAW

The laws of the State of California shall govern the interpretation of this agreement. Any

action brought to enforce any right or obligation under this Agreement or any action which

arises out of or in connection with this Agreement shall be brought in the courts of the State

of California.

a. Any laws broken while in a foreign country are subject to the law in that

country, which may differ significantly from those in the United States and

California.

Appendix F


b. If you are arrested, you may not be afforded the rights and protections

available to individual under the US Constitution.

c. [LIST ANY LAWS SPECIIC TO THE COUNTRY HERE – ILLEGAL

DRUGS, ETC. THAT A STUDENT SHOULD BE INFORMED OF]

11. WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY

AGREEMENT The attached mandatory Waiver of Liability, Assumption of Risk, and Indemnity Agreement,

which is part of this Agreement, must be completed, signed, and returned to the University,

International Education Office, One University Circle, Turlock, CA 95382 before departure.

By signing below, Trustees, Student, and Program Director (when applicable) manifest their

agreement to these terms and conditions.

CALIFORNIA STATE UNIVERSITY, STANISLAUS FOR

TRUSTEES OF CALIFORNIA STATE UNIVERSITY

By Date:

Phyllis Crittendon, Contracts and Procurement Services

STUDENT

By Date:

Signature

(Student’s Printed Name)

I (a) am the parent or legal guardian of the above minor student, (b) have carefully read the

foregoing Agreement (including such parts as may subject me to personal financial

responsibility), (c) am and will be legally responsible for the obligations and acts of the minor

student as described in this Agreement, and (d) agree for myself and for the student to be bound

by its terms.

By Date:

Signature

(Student’s Parent or Legal Guardian Printed Name)

q If box checked Program Director Signature not required.

PROGRAM DIRECTOR As program Director I verify that I have read and reviewed this

document

By Date:

[NAME & TITLE]

Appendix F


Attachment A – Off-Campus Program Details

Attachment B – Authorization for Medical or Surgical Consultation Treatment & Emergency

Contact Information

Attachment C – Release of Liability, Promise Not to Sue, Assumption of Risk and Agreement to

Pay Claims

Appendix F


OFF-CAMPUS PROGRAM DETAILS Attachment A

PROGRAM LOCATIONS AND DATES

DATE LOCATION COMMENTS

TRAVEL ITINERARY

Group travel arrangements are part of the program offering. Student is expected to

participate unless Student obtains University approval in writing of independent travel

arrangements.

MODE OF

TRANSPORATION

DATE & TIME COMMENTS

Group travel arrangements are NOT part of the program offering. Student is expected to

make independent travel arrangement and provide the University written verification thereof.

PARTICIPATION COST REQUIREMENTS (e.g., payment amounts and dates, materials to

be purchased, Foreign Travel Insurance, etc.)

REQUIREMENT/BUDGET ITEM COST TO

STUDENT

PARTICIPANT

Appendix F


TOTAL COSTTOTAL

Appendix F


Attachment B

CSU Stanislaus Off-Campus Program Student Health Statement and Authorization for Medical or Surgical

Consultation/Treatment

Name (printed) ____________________________________________________________

Your candid responses on this Health Statement will enable the Program to assist you in safeguarding your

health while you are traveling. If you have a health or other condition for which adequate facilities or

services are not available, we want to alert you to that fact. Mild physical or psychological disorders can

deteriorate under the stresses of life and study in a foreign country, and it is important that the program

know of any medical or emotional problems that might affect you in a foreign study context. Also, in case

of an emergency in which program staff needs to obtain emergency medical treatment for you, it is

essential that you alert us to any medical conditions or restrictions.

PART 1: Student Completes

A. Do you have any medical condition that the program should be aware of?

B. Are you allergic to any medication? Please list.

C. Do you have any physical disability, learning disability, or other condition that might restrict your

mobility or require special facilities or assistance? If so, please attach a memo from Disabled Student

Services that indicates the condition and your needs.

AUTHORIZATION FOR MEDICAL OR SURGICAL SONSULTATION/TREATMENT

A. I self-certify that I am physically and mentally capable of participating in the Off-Campus program. I

understand that I am responsible for arranging any necessary medication(s) or vaccinations(s) and for

consulting a physician prior to departure for any supplemental advice.

B. I , the student (hereinafter referred to as “Student” or the “undersigned”) hereby authorize the University and its

designated representatives thereof to grant permission for consent to medical and/or surgical treatment of said

Student, at the expense of Student, during the participation of Student in the University Off-Campus Program.

C. Although I understand that, when possible, advance consent of the undersigned will be sought for any necessary

medical and/or surgical treatment, the undersigned agrees that all medical treatment and/or surgery may be

performed when, in the opinion of medical authorities, the health or welfare of the Student may be adversely affected by any delay. It is understood that law of the host country in which the Student is residing/visiting may

require such permission. It is also understood that any costs or expenses incurred for such medical and/or

surgical treatment shall be the responsibility of Student and/or his/her parent or guardian.

D. The undersigned also authorizes the University Student health Service, Counseling Center, and/or the Student’s

private physician or therapist to inform the University regarding any health problem Student has that may

require special consideration and/or follow-up treatment while Student is studying abroad, and that this consent

shall extend to and apply with respect to any medical and/or surgical treatment rendered the Student pursuant to

this authorization.

E. I acknowledge that I am required to carry and maintain accident and health insurance sufficient to meet all costs and expenses which might occur as the result of injury sustained while traveling, and by signing below I

acknowledge that I am presently covered by such health insurance.

Appendix F


Student Records and Emergency Contact Information

Name: ___________________________________________________________________

Address: _________________________________________________________________

__________________________________________________________________

Phone number: ____________________________________________________________

Email: ___________________________________________________________________

Date of birth: _____________________________________________________________

Student ID number: ________________________________________________________

Major: ___________________________________________________________________

Study Abroad Program: ______________________________________________________

Program dates: ____________________________________________________________

Emergency contact information:

Name: ____________________________________________________________

Address: ___________________________________________________________

____________________________________________________________

Phone number: ______________________________________________________

Email: _____________________________________________________________

Attended Pre-Departure Orientation: _____________________________________________

Signature of Student

Date: _____________

Trip and Medical Insurance Verification in File: ___________________________

CSU Release of Liability signed and in File: ________________________

STUDENT

By

Date

By PARENT/GUARDIAN OF MINOR STUDENT

By_________________________________________

Date

Appendix F


Attachment B continued

CSU Stanislaus Off-Campus Program Student Health Statement and Authorization for Medical or Surgical

Consultation/Treatment

PART 2: Physician Completes

Please attach your letterhead or business card.

Does the applicant have any condition or predisposition that could become a significant health problem

during the period of this Off-Campus Program? No Yes

If yes, please explain.

To the best of my knowledge, the applicant is in good physical and mental health, has answered the

questions in Part 1 accurately, and should be able to complete a program of study in a foreign country.

Physician’s Signature Date:

Physician’s Name (please print)

Address

Street city state zip

Office Phone Number Emergency Number

Appendix F


Attachment C

RELEASE OF LIABILITY, PROMISE NOT TO SUE, ASSUMPTION OF RISK

AND AGREEMENT TO PAY CLAIMS

THIS IS A LEGAL DOCUMENT THAT INCLUDES A RELEASE OF LIABILITY.

READ IT CAREFULLY BEFORE SIGNING.

Off-Campus Program Date(s):

Off-Campus Program Location(s):

Student Name (print):

In consideration for being permitted to participate in this Program and any associated

activities, on behalf of myself and my next of kin, heirs, and representatives, I release

from all liability and promise not to sue the State of California, the Trustees of The

California State University, California State University, CSU Stanislaus and their

employees, officers, directors, volunteers and agents (collectively “University”) from any

and all claims, including claims of the University’s negligence, resulting in any

physical or psychological injury (including paralysis and death), illness, damages, cost of

any nature, economic loss, or emotional loss I may suffer because of my participation in

this Program, including travel to, from, and during the Program.

I am voluntarily participating in this Program. I am aware of the risks associated with

traveling to/from and participating in this Program, which include but are not limited to

physical or psychological injury, pain, suffering, illness, disfigurement, temporary or

permanent disability (including paralysis), economic or emotional loss, and/or death. I

understand that these injuries or outcomes may arise from my own or other’s actions,

inaction, or negligence; conditions related to travel; or the condition of the Program

location(s). Nonetheless, I assume all related risks, both known or unknown to me, of

my participation in this program, including travel to, from and during the Program.

I agree to hold the University harmless from any and all claims, including attorney’s

fees or damage to my personal property that may occur as a result of my participation in

this Program, including travel to, from and during the Program. If the University incurs

any of these types of expenses, I agree to reimburse the University. If I need medical

treatment, I agree to be financially responsible for any costs incurred as a result of such

treatment beyond travel insurance provision. I am aware and understand that I should

carry my own health insurance.

I am 18 years or older. I understand the legal consequences of signing this document,

Including: (a) releasing the University from all liability, (b) promising not to sue the

University, (c) and assuming all risks of participating in this Program, including

travel to, from and during the Program.

Appendix F


I understand that this document is written to be as broad and inclusive as legally

permitted by the State of California. I agree that if any portion is held invalid or

unenforceable, I will continue to be bound by the remaining terms. I have read this

document, and I am signing it freely. No other representations concerning the legal effect

of this document have been made to me.

Participant Signature: Date:

If Participant is under 18 years of age:

I am the parent or legal guardian of the Participant. I understand the legal

consequences of signing this document, including (a) releasing the University from

all liability on my and the Participant’s behalf, (b) promising not to sue on my and

the Participant’s behalf, (c) and assuming all risks of the Participant’s participation

in this Program, including travel to, from and during the Program. I allow

Participant to participate in this Program. I understand that I am responsible for the

obligations and acts of Participant as described in this document. I agree to be bound by

the terms of this document.

I have read this Release of Liability document, and I am signing it freely. No other

representations concerning the legal effect of this document have been made to me.

Signature of Minor Participant’s Parent/Guardian Date

Name of Minor Participant’s Parent/Guardian (print) Age of Minor Participant

Independent Activity and Travel

A. I understand that the University is not responsible for any injury or loss I may suffer

when I am acting or traveling independently or am otherwise separated or absent

from any University-supervised activities. This includes but is not limited to “free

time’ during the program.

B. I accept all responsibility for loss or additional expenses due to delays or other

changes in the means of transportation, or other services, or sickness, weather, strikes,

or other unforeseen causes.

C. If I become detached from the Program group, fail to meet a departure by airplane, or

train, or become sick or injured, I will, at my own expense, seek out, contact, and

reach the Program group at its next available destination.

I waive and release all claims against the University that arise at a time when I am not

under the direct supervision of he University or that are caused by my failure to remain

under such supervision or to comply with such rules, standards and instructions.

Appendix F


Initial _________ Date __________

Standards of Conduct

A. I understand that each foreign country has its own laws and standard of acceptable

conduct, including dress, manners, morals, politics, drug use and behavior. I

recognize that behavior which violates those laws or standards could harm the

University’s relations with those countries and institutions therein, as well as my own

health and safety. I will become informed of, and will abide by, all such laws and

standards for each country to or through which I will travel during the Program.

B. I also will comply with the University’s rules, standards, and instructions for student

behavior. I waive and release all claims against the University that arise at a time

when I am not under the direct supervision of the University or that are caused by my

failure to remain under such supervision or to comply with such rules, standards, and

instructions.

C. I acknowledge and understand that any violation of the above standards of conduct,

could lead to sanctions being imposed on me that are consistent with CSU Student

Discipline Policies and Procedures, including, but not limited to suspension or

expulsion from the program.

D. I will attend to any legal problems I encounter with any foreign nationals or

government. The University is not responsible for providing any assistance under

such circumstances.

Initial __________ Date _________

Appendix G

of 29

California State University

Executive Orders Pertaining to Study Abroad as of April 2013

State Funded Study Abroad

Self-Support Study Abroad

Appendix G

of 29

General Study Abroad

Appendix G

of 29

General Study Abroad continued

Study Abroad Fee

Appendix G

of 29

Study Abroad Travel

Source: http://www.calstate.edu/EO/

http://www.calstate.edu/EO/

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