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Consent - Release Agreement
The following agreement is designed to protect American
University ("University"), as well as all participants,
members, agencies, and individuals cooperating with
American University's AU Abroad program ("Program").
You, the student (referred to as "I" in this agreement),
must sign and return this form indicating agreement
to the conditions herein set forth. Confirmation of
your participation will not be made without your signature.
As a participant in the Program, I am subject to the
Code of Conduct as provided in American University's
current Student Handbook. The information is available
on the Internet at http://www.american.edu/handbook/.
To receive a printed copy of the Student Handbook, I
may request one from American University's Office of
the Dean of Students.
As stated in the University's Code of Conduct, if a
student violates the Code or if it is determined by
the Program Representative or agent or the AU Abroad
Director that a student has violated this code, disciplinary
action will result.
Therefore, I understand that appropriate behavior,
as outlined by the Student Handbook, is expected at
all times. I further understand that my participation
in the Program may be revoked immediately, should I
violate any of the codes established by the Student
Handbook.
- General Release
I understand that participation in the Program is
entirely voluntary and that any program of travel
involves some element of risk. I agree that in partial
consideration of American University's sponsoring
this activity and permitting me to participate, I,
my parents, guardians, or legal representatives will
not hold American University, its trustees, officers,
employees, or agents liable for any injury, death,
or loss to person or property sustained by me while
participating in or arising out of any travel or activity
conducted by or under the auspices of American University's
Program.
- Program Changes or Termination
I understand that the University reserves the right
to make cancellations, changes, or substitutions in
cases of emergencies or changed conditions or in the
interest of the group. Should the University cancel
the Program, refunds of program fees will be made
unless the cancellation is due to political, natural,
technological, or other catastrophic conditions beyond
its control in which case the University will be able
to refund only uncommitted and/or recoverable funds.
I understand that any refunds made for programs where
payment is made to the University will be in accordance
with published University policies for the academic
year in which the Program occurs, unless otherwise
stated.
- Loss of Program Fees
I agree to pay for all costs, including scholarship
repayment, arising out of my early withdrawal, for
whatever reason, from the Program. If I withdraw early,
I will inform the Program immediately and in writing.
There will be no refund of fees already paid due to
early withdrawal from the Program for whatever reason.
Further, I will assume responsibility for all costs
incurred on my behalf prior to the Program's receipt
of notification of withdrawal. Also, I accept all
responsibility for loss or additional expenses due
to delays or other changes in the means of transportation,
other services, or sickness, weather, strikes or other
unforeseen causes. If I become detached from the Program
group, fail to meet a departure bus, 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.
- Accident and Insurance Coverage
I understand that the University requires that all
students be covered by appropriate accident and medical
insurance and that all students be financially responsible
for such expenses. Further, I agree to provide the
Program proof of medical insurance coverage. I also
assure the University that there are no health-related
reasons or problems of which I am aware that preclude
or restrict me from participating in the Program.
- Motor Vehicle and Personal Property Insurance
Coverage
I understand that the University requires students
who plan to operate a motor vehicle to obtain liability
and collision insurance that will cover them in the
applicable locale and that the University is not responsible
for accidents or injuries which occur as a result
of a student's operation of a motor vehicle while
attending a Program. I also understand that the University
recommends that students insure their personal property
from loss or theft and that the University is not
responsible for loss or theft of personal property.
- Medical Treatment
I understand that while I am overseas, an emergency
may develop which necessitates medical care, hospitalization,
or surgery. Wherever possible, a Program Representative
or agent will contact my parents or guardians prior
to such treatment. However, this may not be practical
depending upon the nature of the emergency. Therefore,
I authorize the University through its authorized
Program Representative or agent to secure any necessary
emergency medical treatment including the administration
of anesthesia and surgery. I understand that such
treatment will be solely at my expense and I agree
to reimburse the University for any expense that it
might incur on account of my injury or treatment.
- Housing Arrangements
I understand that Program provides housing arrangements
at the sites abroad. I understand that I need to complete
a housing profile form by the stated deadline and
before any housing assignment is processed. I understand
that should I not return a completed form, my status
in the Program is jeopardized, and I risk being dropped
from the Program completely. I understand that should
I be a "no-show" or late withdrawal, I will be responsible
for any cancellation charges or penalties that may
result. This charge can range from no penalty to the
entire housing cost depending on the charge levied
on the Program from the on-site housing coordinator.
I understand that in programs where dormitories are
the housing arrangement, that the dormitory will have
its own set of rules and regulations by which I must
abide as a participant in the Program. If I am assigned
to a homestay and should the homestay arrangement
not prove beneficial, I may contact the Program housing
coordinator and/or the Program representative to inform
them of the dilemma so that they may arrange a transfer
to a different family if possible. I understand that
I need to explain the situation to the housing coordinator
and to give him/her a reasonable amount of time to
make the transfer. I understand that this change will
occur with goodwill and as quickly as possible by
all parties involved. I equally understand that my
concern must be a legitimate one and that I must make
an effort to make the homestay satisfactory. I understand
that should I change housing arrangements, I may be
responsible for the full semester cost of the accommodations
due to my original commitment. Participants at some
sites will have rules above and beyond those mentioned
herein and will need to abide by those as stipulated
by the specific program.
- Voluntary or Involuntary Withdrawal or Dismissal
I understand that all students are subject to University
regulations, Program guidelines, and laws of the host
country. In the event of violation of any of the above,
academic failure, or behavior which is detrimental
to me, to other students or to the Program, the Dean
or accompanying Faculty will have the right to dismiss
me from the Program. The decision is final and may
result in the loss of academic credit and paid fees
for the Program. I recognize that due to the circumstances
of foreign study programs, procedures for notice,
hearing and appeal applicable to student disciplinary
proceedings at the University do not apply. If I am
dismissed, I consent to being sent home at my own
expense with no refund of fees. I further understand
that I may also be subject to Conduct Council charges
for violations of University policies or code of conduct.
- Legal Conflicts
I acknowledge and understand that should I be arrested
or come into legal conflicts with people not associated
with the Program in the host country, I must attend
to this matter personally and use my own funds to
cover any costs of such problems. I understand that
the University is not responsible for providing legal
assistance in these circumstances. I understand and
agree that I am liable for damages to my own person
and property, as well as damages to other persons
and their property, including any damage due to my
abuse of alcoholic beverages, medicines, and/or illegal
drugs. I recognize that I am personally liable for
the legal and economic consequences of my actions
and I have been so notified.
- Governing Forum
I further understand that this Agreement will be construed
in accordance with the laws of the District of Columbia,
which will be the forum of any lawsuits filed under
or related to this Agreement or Program. The term
and provisions of this Agreement will be severable,
such that if a court of competent jurisdiction holds
any term to be illegal, unenforceable, or in conflict
with any law governing this Agreement the validity
of the remaining portions will not be affected thereby.
- Pledge
I agree to comply fully with the rules of the University
and its agents, its host institutions and/or any cooperating
entity. I agree that the University has the right
to enforce its standards of conduct and that should
I fail to comply with them, the University has the
right to terminate my participation in the Program
with no refund of monies paid.
I HAVE READ AND UNDERSTAND THE ABOVE PROVISIONS AND
AGREE TO BE BOUND BY THEM.
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