2018 ENGLISH STUDY ABROAD

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2018 ENGLISH STUDY ABROAD Please submit to English Department Office by Friday, March 2nd Travel Dates: August 15 to September 5 2018 1 Directors: Darin Merrill Emily Grover Susan Thomas 314 Rigby

Neatly print and complete all information on the form. Once done, please sign where indicated. 2.

1 2018 ENGLISH STUDY ABROAD Please submit to English Department Office by Friday, March 2nd Travel Dates: August 15 to September Directors: Darin Merrill Emily Grover Susan Thomas 314 Rigby Hall 105 Rigby Hall 112 Rigby Hall merrilld@byui.edu grovere@byui.edu susanthomas@byui.edu (208) (208) (208) Directions: 1. Neatly print and complete all information on the form. Once done, please sign where indicated. 2. After an interview (by phone or in person) with an ESA Director, pay your $1200 deposit at the BYU-Idaho Cashier s Office. This deposit is non-refundable upon acceptance to the program Submit the completed application packet to any of the tour directors or to the English Department office, Rigby Hall 180, Rexburg, ID FAX: These dates are subject to change within a two-day margin, based on flight availability and cost, as well as itinerary changes. 2 A note on costs: The English Study Abroad is proud to be able to include all travel, all accommodations, all entry fees, and all meals for the cost of the trip. The total cost of the English Study Abroad is $3,950. This does not include tuition or books, and you must be registered for at least three (3) credits to attend the tour.

2 Full Name as it appears on your passport (this is VERY important, so make sure it is exactly accurate): Preferred Name Citizenship Admitted to BYU-Idaho: Yes No Which track? Fall/Winter Winter/Spring Spring/Summer Summer/Fall BYU Idaho I-number: Phone Year in school: Freshman (0-30 credits) Sophomore (31-60) Junior (61-90) Senior (91-120) References: BYU-Idaho Professor BYU-Idaho Bishop Phone Current or Former Employer/Supervisor Job: Phone Parent/Guardian Name Phone Home address City/State/Zip STUDENT COMMITMENT If accepted as a member of the ESA program, I promise to: 1. Support and uphold the moral standards and ideals of the LDS Church. 2. Follow the behavior, honor, and moral codes and expectations of BYU-Idaho and the ESA Tour. 3. Abide by the decisions of the tour directors in all matters pertaining to the tour. 4. Make all payments by the deadlines as outlined in the tour packet. I understand that if I choose to or am forced to withdraw from the program after being accepted, I may lose not only the deposit, but all expenses incurred in my behalf. 5. Fill out a physical and mental health information and release form before final acceptance. To participate in this program I must fulfill all requirements for enrollment in BYU-Idaho, including, but not limited to, clearance from the Dean of Students and a bishop, and official enrollment in college courses. My professors (beyond those I ve listed) may be contacted about my academic preparation and dedication. If I do not conform to Church, University, and Tour standards and policies, I may be denied acceptance, removed from the tour, and/or sent home from the tour at my own expense. Signature of Applicant Date Signature of Parent/Guardian* Date *Participants under 18 or financially dependent must have parental/guardian approval.

3 2018 English Study Abroad Your Name: Either on this form or as an attachment, please describe your interest in and motivation for the 2018 ESA Tour. Why do you want to go? What do you hope to learn and accomplish? What will you contribute?

4 2018 English Study Abroad ASSUMPTION OF RISK AND RELEASE AGREEMENT I know and recognize that participation in the ESA: British & Emerald Isles tour conducted by BYU-Idaho is done on a voluntary basis without compulsion or coercion and is not a mandatory class requirement. However, if I am accepted into the ESA program, I am required to take at least three credits. I know there may be dangers and hazards with the tour and assume the risks associated with participation, including but not limited to: Hazards associated with travel, whether by land, sea, or air including airplane, auto, or bus crashes; hazards of hiking, biking, snorkeling, and swimming, such as falls, crashes, being struck by a vehicle, drowning, or suffering physical exertion; hazards of unstable governments and related potential violence; hate crimes; illness caused by food, water, heat, cold, altitude, or contagious disease; assault, theft, or robbery; trip cancellation or change in itinerary and travel plans; acts of God; any activity I decide to participate in during free time. I acknowledge that these hazards could cause physical or emotional harm or even death. Knowing the risks, and in consideration for being permitted to participate, and as inducement to BYU-Idaho, I hereby, for myself, my heirs, executors, administrators, or anyone else who might claim on my behalf, covenant not to sue. I waive, release, and discharge BYU-Idaho, its agents, officers, and employees from any and all claims or liability for death, personal injury or property damage of any kind or nature, and any other claims whatsoever arising out of or in any way connected with my participation in this tour; even though liability may arise out of carelessness on the part of BYU-Idaho, including its officers and employees. This release extends to all claims of every kind or nature whatsoever, foreseen or unforeseen, known or unknown. My signature below affirms that I have carefully read this assumption of risk and release agreement and the other terms; I understand its contents and purposes, and voluntarily agree to all the terms set forth above. Participant s signature Date Parent/guardian signature* Date *Required if participant is under 18 or covered by a parent or guardian s insurance.

5 2016 English Study Abroad Student Health Form and Medical History Legal Name: (First) (Middle) (Last) Health issues Y N Health issues Y N Health issues Y N Allergies Joint/muscle High Blood Pressure Asthma Back Problems Eating Disorder Colitis Heart Problems ADD/ADHD Diabetes Stomach ulcers Schizophrenia Hernia Thyroid Claustrophobia Hives Seizures Dementia Hypoglycemia Suicidal Thoughts Acrophobia Drug reactions Depression OCD Heat reactions Anxiety PTSD Hearing Loss Panic Attacks Currently Receiving Counseling Other: Other: If yes to any of the above questions, please explain: Consent to treatment I understand and agree that BYU-I will not have medical personnel available at the location of the program. I further agree that BYU-I personnel and students are granted permission to provide and authorize emergency medical treatment, if necessary, and that such actions are subject to the Assumption of Risk and Liability Agreement which I have signed and that they shall assume no responsibility for any injury or damage which might arise out of or in connection with such emergency medical treatment. In the event of my injury or illness, I also authorize BYU-I to select a physician to administer surgical treatment or carry out such procedures as may be deemed necessary or advisable to diagnose and treat me during the course of my participation in the ESA: English Study Abroad program. I freely give this medical information to my directors, knowing that they will keep it in the strictest confidence. Signed Signature of Parent or Guardian* *Co-Signature of parent/guardian if student is under 18 years of age.

6 Tour Participant Health Insurance Information 2016 English Study Abroad So that we have the necessary information in the event of an emergency, please provide the following information about your health insurance coverage; return the completed form to the English Department office, room 180 of Rigby Hall. Tour participant s name: Name of the person under whose policy participant is covered: Insurance company name: Policy number: Group number (if applicable): Claims Address: Billing or Customer service phone #:

7 2016 English Study Abroad Of the following course offerings, which classes would you be most interested in taking during your study abroad? (Students only need to sign up for one three-credit class, but you can also take up to nine credits.) Please check the top three classes you are interested in taking, and this will help the faculty members on the tour decide which classes to offer this year: English 331 Medieval/Renaissance British Literature English 332 Restoration through Romantic British Literature English 373 Shakespeare English 350R Themes in Literature: History of the British Novel English 350R Themes in Literature: Introduction to Book History/Textual Analysis English 370R Authors Course: TBA FdHum 214 Modern Art and Propaganda FdHum 206 Great Books

Experience Europe 2016 College of Business and Communication Application - Due February 5,2016

Experience Europe 2016 College of Business and Communication Application - Due February 5,2016 - Due February 5,2016 Complete, sign, and submit this application along with your letter of intent to BYU-Idaho, College of Business and Communication, Smith 229, Rexburg, ID 83460-0810 Fax (208) 496-5414