England: Magical Mystery Tour - WSU Guest Participant

Thank you for your interest in participating in the England: Magical Mystery Tour Study Abroad Program (March 7-16, 2019). In order to be considered for participation, you must complete the following:

Submit a $50 application fee made payable via "Pay Fees" tab on studyabroad.wayne.edu or the online payment center.
Attach a passport copy*
Submit this application

*If you do not have a valid passport, you must submit a memo including the date that you applied for your passport and the expected arrival date. To apply for a passport, click here.

Please note: your application will not be processed until you have submitted all the documents and application fee.

Fields with asterisks (*) are required.

First name *

Last name *

Email *

Full Legal Name (as appears on Passport) *

Date of Birth (MM/DD/YYYY) *

Gender

Male

Female

Address line 1 *

Address line 2

City *

State/province/region *

Postal/zip code *

Country *

E-mail (Most correspondence from our office will be via e-mail. Please list one that you check regularly. If you provide a non-WSU e-mail, you must disable SPAM blockers.)

Phone Number *

Alternative Phone Number

Country of Citizenship (Please note: If you are not a U.S. Citizen, it is your responsibility to obtain a visa to enter and leave the country you will be visiting. Not all programs require a visa, so check online or with an adviser if you are uncertain.) *

Current Institution *

Have you previously applied and been accepted into Wayne State University? *

Yes

Are you an international student? *

Yes

Current GPA

Race/Ethnicity (Please note that this is for statistical purposes only; does not affect program eligibility. If you are multi-racial, please choose the one you identify with most.) *

Emergency Contact

Relationship to you *

Name *

Phone Number *

Address *

City *

State *

Zip Code *

Alternate Phone Number

E-mail

References

Please list the names, telephone numbers and e-mail addresses of two references who may be contacted regarding your application. The references cannot be related to you.

Name of Reference #1 *

Phone Number *

Relationship to you *

E-mail *

Name of Reference #2 *

Relationship to you *

Phone Number *

E-mail *

Miscellaneous

If other, please explain

Travel Experience

Have you traveled abroad for longer than a week? *

Yes

If yes, where? Please describe your experience.

Payment, Deposit and Refund Policies

Program Fee: $2,750 which does not include tuition, meals, personal expenses, passport and processing fees.

I have read and understand the program fee policy and that I am separately responsible for the tuition and airfare. Please initial below. *

Program Deposit: The non-refundable program deposit of $575 is due upon acceptance. The remaining balance is due in three equal payments of $725 by the following dates: 11/26/2018, 12/14/2018, 01/11/2019.

I have read and understand the Program Deposit policy. I understand that I am responsible for paying the deposit which is due upon acceptance. Please initial below. *

Withdrawal Policy: Withdrawals must be submitted in writing.

Refund Policy:

If the participant withdraws 90 days or more before the start of the program, they will be refunded 75% of program fees less $575 non-refundable deposit.

If the participant withdraws 60-89 days before the start of the program, they will be refunded 50% of program fees less $575 non-refundable deposit.

If the participant withdraws 1-59 days before the start of the program, all payments are non-refundable.

Payment, Deposit, and Refund Policy Agreement
I have read and understand the Payment, Deposit and Refund Policies as listed above. I understand that in order to secure my place in the program, a $575 non-refundable deposit is due upon acceptance into the program. I understand that program fees may change due to unexpected increases in airline surcharges. If this occurs, I understand that those fees will be passed on to me.

I have read and understand the Refund Policy. (Initial and date below.) *

If applicant is under 18, parent/guardian must type full name below.

Release of Student Information

During the course of the student's participation in a study abroad program, the Office of Study Abroad and Global Programs may wish to provide relevant information from the student's educational records to the student's parents or other third parties. Depending on circumstances, information to be released might include student account information, information about the program in which the student is enrolled, or non-emergency information related to the student's health or safety.

Please initial below to indicate that you have read this form and authorize the Office of Study Abroad and Global Programs to provide relevant information from your educational records to your parents and any relevant third parties.

If you do not initial this section, no student information other than "directory information" will be released to family members except in an emergency.

Authorize the release of Student Information as explained above. (Initial below.) *

If applicant is under 18, parent/guardian must type full name and below.

Emergency Contact

References

Miscellaneous

Travel Experience

Payment, Deposit and Refund Policies

Release of Student Information

Additional Documents