Required forms for J-term 2013 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 and 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 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 Agreement: This form contains information regarding Randolph-Macon College’s mandatory insurance policy. If interested in purchasing an individual travel insurance that will cover cancellations for any reason, the student and/or guardian must take responsiblity for enrolling.
• 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 to provide the information requested on the form.

[NOTE: Students will be informed of the Judicial Affairs Form, which they need to complete once they register for a study/travel course. The form authorizes release of information from a student’s conduct record to the Office of International Education and the student’s J-term study/travel course instructor(s). Additionally, judicial infractions occurring between the time a student signs the form and departs on the J-term course will be reported to the OIE and to the instructor.]