Required forms for J-term 2012 study/travel students:

Agreement and General Release Form , which consists of: 

• Academic Work/Personal Conduct: Reminds students that R-MC can exclude individuals from participation in a study/travel course on account of unsatisfactory academic work or personal behavior and that students can be removed from a course due to disruptive behavior.
• General Release from Liability: Required of all enrolled students to sign to agree that participation in a J-term study/travel course is not required as part of the Student’s academic or other responsibilities at the College and that their participation in the Study/Travel Course is voluntary and solely for the their benefit.
• Informed Consent/Privacy Act Waiver: Grants Randolph-Macon College permission to communicate information about students to their parents or guardians or, if married, to their spouses, while students are participating in a study/travel course.
• Privacy Act Waiver for U.S. Department of State: Waives a student’s rights under the Privacy Act, thereby authorizing the U.S. Department of State to release information about a student to Randolph-Macon College. Without a signed Privacy Act waiver, the only information the Department of State will communicate to R-MC about a student is whether they have been able to contact the student. In case of an emergency overseas, the assistance of the Department of State may be desired or necessary. Therefore, the college requires this waiver and does so in the interest of students and their families.
• Mandatory Medical Insurance Form: This form contains information regarding the Randolph-Macon College’s mandatory insurance policy.
• Cancellation and Refund Policy Agreement: Contains information regarding Randolph-Macon College’s cancellation and refund policy as well as the $30 contingency fee to cover the College’s expenses in the event of any emergency course cancellations.

Emergency Contact & Medical Form , which consists of:

• Emergency Contact Information: Provides information used to contact a student’s family/guardian in case of emergency.
• Emergency Medical Information: In case of a medical emergency in which the student is unable to communicate, this form may be used to provide pertinent medical information to medical personnel. Students are encouraged but not required to provide the information requested on the form.