SAINT MARY'S UNIVERSITY OF MINNESOTA

STUDY ABROAD APPLICATION

SPRING 2013 FLORENCE, ITALY Florence University of the Arts (FUA)

STUDY ABROAD REQUIREMENTS & APPLICATION PROCEDURES

Eligibility: This study abroad program is open to all sophomores, juniors and seniors who have a minimum GPA of 2.75. Application Procedure: 1. Submit the entire program application booklet by November 1, 2012. SAI Application - Either apply online at http://www.saiprograms.com/florence/fua/apply-florence-fua) Print off copy and submit to the Study Abroad Office or use the enclosed application. SAI Waiver/Contract SAI Registration SAI Housing Request _________ Personal Statement _________ Letter of Recommendation Official Transcript Assumption of Risk and Release Program Risks Insurance Verification Health Information Form __________Course Choice Form __________Course Substitution Form __________Student Conduct Agreement Power of Attorney Form (Needs to be notarized) 2. Submit application with a non-refundable $90 Application Fee (checks should be made payable to Study Abroad Italy). * Note: Late applications will incur a $150 penalty fee. Acceptance is contingent on a thorough review of the student’s application. Notification will be sent to you by email within one week of application. Upon Acceptance: complete the following required items. 1.

Within 2 weeks of email acceptance pay a $500 NON-REFUNDABLE confirmation deposit payable to SMU and $300 security deposit payable to SAI (refundable at the end of the term) + single room supplement fee (if applicable, $1000) payable to SAI in order to secure your enrollment.

2.

Attend all orientation sessions.

3.

Complete SMU’s housing request form for the following semester and review health information. (Both topics will be discussed during an orientation session.)

4.

Submit copy of first page of passport to Study Abroad Office.Obtain Student Visa. Visas are required for those students enrolled in Italian Programs. Instructions are given upon acceptance. For most US Italian Consulates SAI offers a Visa Processing Service for a fee of $250. It is highly recommended to submit your visa application at least one month and no more than 90 days prior to the departure date.

5.

Arrange travel plans. SAI has arranged for students to receive the lowest possible student airfares through Waldorf Travel Service, which can be reached at 800.328.7266. Be sure to tell them you are a Study Abroad Italy student. We strongly recommend finalizing your airline arrangements at least 120 days prior to departure. Once obtained, submit a copy of your flight itinerary to the Study Abroad Office.

6.

Purchase International Student Identity Card (ISIC) for $22 in the Study Abroad Office.

Program Cancellation & Refunds Check-in day is considered the start of the term. The Confirmation Deposit is NOT REFUNDABLE. Further Program Fee liability is based on the date on which a formal cancellation request is received in writing (email or fax). If a cancellation notice is received: Students who cancel less than 60 days before orientation are liable for the following charges: • 60 - 46 days prior to the start of a term:

10 % of the program cost

• 45 - 31 days prior to the start of a term:

20% of the program cost

• 30 - 8 days prior to the start of a term: 50% of the full Program Fee • 7 days or less prior to the start of a term:

100% of the full Program Fee

It should be understood by all who are accepted into this program that they will comply with the local laws of the country and the rules and policies of Saint Mary's University of Minnesota as stated in the Community Planner & Handbook 2011-12.

study abroad italy + london Florence University of the Arts - Florence Apicius International School of Hospitality - Florence Siena Italian Studies - Siena Sant’Anna Institute: Sorrento Lingue - Sorrento John Cabot University - Rome Italiaidea Institute - Rome Torino Study Abroad - Turin Domus Academy - Milan Nuova Accademia di Belle Arti - Milan

University of the Arts London: Camberwell College of Art Central Saint Martins College of Arts and Design Chelsea College of Art and Design London College of Fashion Wimbledon College of Art

Application 2012 - 2013

Procedure Requirements: • 18 years of age • Cumulative GPA of 3.0 for London, 2.75 for Florence, and 2.5 for all other schools • Official Transcript • Personal Statement • Portfolio: Required for London Programs Only (except LCF) • Academic Recommendation Letter: Required for London Programs Only (2 required for LCF)* *Downloadable form available on our website: www.saiprograms.com/resources/students/downloads

Application and Payments should be sent to: SAI 7160 Keating Ave. Sebastopol, CA 95472 Phone: (800) 655.8965 Fax: (707) 824.0198 www.saiprograms.com

STEP 1 (Applying) Submit application with a non-refundable $90 Application Fee and transcript. Semester students applying to the London program must also submit portfolio if required. Your transcript may be sent separately, in which case acceptance will be delayed until it is received. Online applications will not be processed until application fee is received. Master’s and Short Program applicants should contact the SAI California office or visit the SAI website for application, procedures and instructions. APPLICATION DEADLINES (late applications are accepted on a space-available basis) Fall Semester: June 15 Spring Semester: November 1 Summer Sessions: Please see website, www.saiprograms.com STEP 2 (Acceptance Deposit) Notification of acceptance status will be sent to you by email upon receiving a complete application. Within 2 weeks of email acceptance, a $500 NON-REFUNDABLE confirmation deposit + $300 refundable security deposit + single room supplement fee (if requesting a single room) must be paid to SAI in order to secure your enrollment. Acceptance letters will include instructions and program payment dates. If you have requested housing and have not paid the single supplement you will automatically be placed in shared-room housing. NOTE: Students applying after the application deadline must remit Acceptance Deposit payments in full within 5 business days after receipt of their acceptance email. STEP 3 * (Payment 1) Payment equal to 50% of the Total Program Cost must be paid by: Fall Semester..................................May 1 Spring Semester...............................October 1 Summer............................................90 days prior to check-in date. Please see website, www.saiprograms.com STEP 4 * (Payment 2) Balance of Program Cost Due: Fall Semester....................................July 1 Spring Semester...............................December 1 Summer............................................60 days prior to check-in date. Please see website, www.saiprograms.com * NOTE: Students confirmed after Payment 1 / Payment 2 due dates will receive an email from the SAI business office regarding further program payments now due. Either 50% or 100% of Program Cost will be due within 5 business days, based on your acceptance date. AFFILIATED UNIVERSITIES: Students from SAI affiliated universities and colleges should discuss plans with their study abroad office in order to be clear about the payment procedure your school uses in its SAI affiliation. It is the student’s responsibility to insure that credits will transfer. Students from affiliated universities MUST obtain approval from their study abroad office prior to submitting an application. STUDENT VISAS: Student Visas are required for those students enrolled in any Italy program longer than 90 days. Visa instructions are given upon acceptance. For most US Italian Consulates SAI offers a Visa Processing Service for a fee of $250. Visas are not required for US Citizens studying in London 6 months or less. All non US Citizens should contact the nearest Italian Consulate or British Embassy, following their directions for obtaining a Student Visa. AIRLINE TRAVEL: SAI has arranged for students to receive the lowest possible student airfares through Waldorf Travel Service, which can be reached at [email protected] or 800.328.7266. Be sure to tell them you are an SAI student. We strongly recommend finalizing your airline arrangements at least 120 days prior to departure. HEALTH INSURANCE: All students automatically receive HTH full coverage student health insurance while enrolled in their SAI program. Adult students over 49 years of age are charged a supplementary fee. PHYSICAL DISABILITIES: SAI will do everything in its power to provide for students with physical disabilities, though it is important to note that Europe’s infrastructure and ability to accommodate disabled individuals differs from that which is available in the US. Certain sites are better equipped to assist students with disabilities and we recommend speaking with our admissions staff for assistance. Please notify SAI during your application process of any and all disabilities. FINANCIAL AID: Students using financial aid are required to pay Application Fee, Confirmation Deposit, Security Deposit and Single Room Supplement (if applicable). Written verification of financial aid award or loan approval must be sent to our office in order to delay the balance of program cost and before your application is considered complete. If your financial award is not sufficient to cover full Program Cost, the difference must be paid by the final payment date. Please direct all questions concerning financial aid to the SAI California office. NOTE: Financial Aid students remain responsible for all cancellation penalties that apply, even if program fees have not yet been paid. Failure to pay cancellation obligations will result in referral to Collection Agency. Financial aid students who do not submit all required documents by the following dates will be automatically withdrawn: Fall 2012 = July 1, Spring 2013 = November 15, Summer 2013 = 60 days prior to check-in date. PAYMENT: Checks should be made payable to SAI. All payments, including wire transfers, should list the applicant’s name. If you are enrolling for more than one term, a separate application fee must be paid for each term. Payment by credit card and e-check may be made on our website (www.saiprograms.com/payment-page). HOUSING: Housing is included for all Full Program students. Students making their own housing arrangements will receive a reduction in the Program Cost. Contact the SAI office for exact amount of cost reduction.

CANCELLATION POLICY: Please see Waiver / Agreement page

application: fall 2012 • spring 2013 • intersession 2013 • summer 2013

 Male  Female

Legal Name

Date of Birth

First

Middle

Last

Country of Birth

City of Birth

mm/dd/yyyy

Passport #

Citizenship

SAI tshirt size?  Women

Semester Students Only

 Men  Small  Large

Current School Minor

Major

Have you spoken with your home school and obtained all necessary approval for study abroad? Are you applying from an affiliate university?  Yes

 No

Will you be participating in an Internship while abroad? *Study Abroad Advisor Name Year of study while abroad:

Will you be using financial aid to attend? For which term(s) are you applying?

1)

Do you require a US transcript?  Yes

Italy Programs - Knowledge of Italian language:  Beginner

 No

 Intermediate  Advanced

 Yes  No If Yes, your Admissions Counselor will email you the Internship Application. *Advisor’s Signature

*required if currently enrolled in a US university

 Gap Year

 Yes  No

 Freshman

 Sophomore

 Junior

*required if currently enrolled in a US university

 Senior

 Graduate

 Yes  No How did you hear about our programs? 2)

Term / Year

3)

Term / Year

Term / Year

To which program are you applying? UNIVERSITY OF THE ARTS LONDON

 Florence University of the Arts (FUA)  Apicius International School of Hospitality (AISH: Free Elective)  Siena Italian Studies (SIS)  Sant’Anna Institute - Sorrento Lingue (SASL)  John Cabot University (JCU)  Italiaidea Institute  Torino Study Abroad (TorinoSA)  Domus Academy (DA)  Nuova Accademia di Belle Arti (NABA)

 Camberwell College of Art (CCA)  Central Saint Martins College of Arts & Design (CSM)  Chelsea College of Art & Design (CCAD)  London College of Fashion (LCF)  Wimbledon College of Art (WCA) Note:Students wishing to apply for AISH/FUA Certificate Programs will find the PDF application on our website, www.saiprograms.com

Permanent Address: to which SAI will send all correspondence Apt#

Street Address State

City Home Phone

Zip Code

Country

Cell

Fax

E-mail

Alternate E-mail Emergency Contact Information: Required

Name

Relationship Apt#

Street Address State

City Home Phone

Zip Code

Country

Cell

E-mail

Fax Alternate E-mail

Secondary Emergency Contact Information: Required Name Home Phone

Relationship Cell

E-mail

Registration Name:

Term:

 Florence University of the Arts  Apicius  Semester Free Elective (Italian language + electives; max. 15 credits)  Semester Liberal Studies (3/6 credit Italian + 9 non-studio credits max.)  Semester Intensive Language (max. 12 language credits: FUA Only)  Semester Internship (12 credits + 3 credit internship: FUA Only)  Additional 3 Credit Course  Quarter Program (max. 15 credits: FUA Only)  Intersession (max. 6 credits: FUA Only)  Summer Program in Photography, Writing & Publishing (FUA only)  Summer Session (3 weeks) term: credits:  Summer Session (6 weeks) term: credits:  Cultural Introduction to Italy (additional 1 week summer course) FLORENCE:

SIENA: Siena Italian Studies

 Semester Free Elective (Italian language + electives; max. 18 credits)  One Year Free Elective (Italian language + electives; max. 36 credits)  Summer Session (6/12 credits) term: ROME: John Cabot University

 Semester Free Elective (max. 17 credits)  Semester Free Elective w/ Global Leaders Certificate (max. 17 credits)  Summer Session (3/4 credits) term:  Summer Session (6/7 credits) term:  Nuova Accademia di Belle Arti  Domus Academy  Semester Free Elective: NABA only (15 credits)  Semester Subject Intensive: NABA only (15 credits)  Summer Session (3/9 credits) term: MILAN:

SORRENTO: Sant’Anna Institute - Sorrento Lingue

 Semester Free Elective (Italian language + electives; max. 18 credits)  Semester Architecture (Italian language + electives; 15 credits)  Semester Internship (12 credits + 3 credit Italian Language)  Summer Session (3 credits) term:  Summer Session (6 credits) term: ROME: Italiaidea Institute

 Semester Language Program (12 credits)  Semester Language Program (15 credits)  Semester Italiaidea/JCU Combo Program (max. 15 credits)  Summer Session (3 credits) term:  Summer Session (6 credits) term: TURIN: Torino Study Abroad

 Semester (Italian language or culture + electives; max. 17 credits)  Free Elective  Music  Archaeology  Econ./Law  One Year (Italian language or culture + electives; max. 34 credits)  Music  Econ./Law  Summer Session (4 weeks) term: credits:  Summer Session (8 weeks) term: credits:  Summer Italian Language Program (7 weeks / 12 credits)  Summer Archaeology Program (7 weeks / 10 credits) LONDON: University of the Arts London (All Schools)

 Semester Free Elective (15/17 credits) school:  Semester Subject Intensive (15/17 credits) school:  Summer Session (3 credits) school:

You are not registered for your course selection until you receive confirmation from SAI. If you are applying for more than one term please register below for courses in the first term. SAI will contact you to select courses for the following term. Select courses using the class schedule posted on the program website. Please note: One Italian Language course is required for all semester program students in Milan, Florence, Siena, and Sorrento programs; one Italian Culture or Language course required for Torino. No program changes or class changes are permitted less than 4 weeks before a term. Students enrolling in a program with pre-set courses may write the Program Title only. JCU students register themselves online once course registration opens. JCU students should still complete this form for course approval.

Course #

Course Title / Program Title

Days

Times

Sect. #

Credits

1 2 3 4 Alternate Courses: Required for Florence, Siena, Sorrento & Rome Only 1 2 3 Semester Only: Italian Language Course Required for Florence, Siena, Sorrento & Milan. Italian Culture or Language Course Required for Torino 1

Academic Approval

 The academic credits I earn abroad will be transferred to my home university as pass/fail and will NOT be applied towards my GPA.  The academic credits I earn abroad will be transferred to my home university as letter grades and WILL be applied towards my GPA. It is the student's responsibility to insure that credits will transfer. We encourage all students to have their Registration signed off by an Advisor. Students from affiliated universities must obtain approval from their study abroad office prior to submitting an application.

Academic Advisor’s Name

Signature (required if currently enrolled in a US university)

Housing Request  Male  Female Name

First

Middle

Last

Passport #

Date of Birth: mm/dd/yyyy

For which term(s) are you applying? 1) 2) 3)

Term / Year

Term / Year

Term / Year

To which school are you applying?

 Florence University of the Arts (FUA)

 John Cabot University (JCU)

 Apicius (AISH)

 Italiaidea Institute

 Siena Italian Studies (SIS)

 Domus Academy (DA)

 Sant’Anna Institute - Sorrento Lingue (SASL)

 Nuova Accademia di Belle Arti (NABA)

 Torino Study Abroad (TorinoSA)

 University of the Arts London (All Schools)

 Yes, I'd like housing (make your selection from below).

 No, I'll find my own (if no, skip to signature at bottom of page).

Students making their own housing arrangements will receive a reduction of their Program Cost. Reduction varies from school to school, contact the SAI office for exact amount.

Select one of the housing options below (plus a second choice in case the first is not available). NOTE: If you are requesting a single room, payment of the supplementary fee must be received or you will be placed in a Shared Room. Housing Type:

 Student Apartment (n/a for Siena students)  Family Homestay (n/a for London, Milan, Turin or John Cabot University students)

Room Type First Choice:

 Single Occupancy Room

 Shared Room

Room Type Second Choice :

 Single Occupancy Room

 Shared Room

Preferences:

 I would like to live in a Health, Wellness, & Sustainable Living Community (available in Rome & Florence only).

(One person per room: n/a in Milan)

(One person per room: n/a in Milan)

 I will find my own housing

Students who choose this option will participate in projects focusing on sustainable living throughout the term. Please see website for more details.

 I am committed to an alcohol-free lifestyle  Smoking

 Non-Smoking

 No Preference

 I tend to be tidy

 I tend to be untidy

 No Preference

 I go to bed early

 I go to bed late

 No Preference

Are there people you would like to live with? Roommate: Apartment mates: NOTE: In order to process a valid shared housing request, each student must include the other(s) on their housing request form. SAI will attempt to satisfy student requests, however, we cannot guarantee that all preferences can be met. Please list any physical disabilities that require special needs:

Housing will not be assigned until the confirmation deposit and security deposit are received. Housing assignments are made on a first-come, first-served basis, determined by the date deposit is received. Please Note: Single rooms are limited in availability and cannot be guaranteed. There is a supplementary fee, in addition to the Program Cost, for single rooms. If you are requesting a single room, payment of the supplementary fee must be received or you will be placed in a shared room. Homestays may require an additional fee depending on the program, contact our office for more details. SAI student apartments are assigned as single gender housing, (all male or all female). Students seeking male/female shared housing options should contact the SAI office for more information. Program Cost includes utilities up to $75 (USD) per person, per month. Excessive use may warrant additional charges. Housing assignments are subject to cancellation if full payment of Program Cost is not made by the due date. Full payment of Program Cost is due prior to receiving your housing assignment. SAI will mail one billing statement to your permanent mailing address which will include all due dates. Private Arrangements: You are welcome to make your own private apartment arrangements directly with our rental agents. Please contact the SAI office for more information. Assigned housing may not be available to students applying less than 30 days before the start of a term. Those students will be referred to a private agency in order to make arrangements for private housing. NOTE: Upon check-out, an inspection of student apartments is conducted. Students are liable for apartment damages and will be billed for any damages at the end of the term. Transcripts will be withheld until payment for damage is received. Applicant’s Signature:

Date:

Waiver / Agreement Full Name of Student: Full Name of Student's Parent or Legal Guardian (if under 18 years of age): This is a legally binding release made by participant and, if participant is under 18 years of age, by participant's parent or legal guardian. The term "Undersigned" is used in this agreement as pertaining to more than one person. If participant is at least 18 years of age, it refnly to participant. If participant is under 18 years of age, "Undersigned" refers to participant's parent or legal guardian. I. PROGRAM Participant desires to take part in the following program. If participant is under 18 years of age, the Undersigned hereby grants permission for participant to take part in this program: Name of Program: Study Abroad Italy (SAI) Name of Host Institution: FUA / AISH / SIS / SASL / JCU / ITALIAIDEA / TorinoSA / DA / NABA / UAL (circle school) Dates of Program: II. WAIVER This program involves studying at an SAI institution and may include living with a host family or in an apartment in the host city. Group excursions and social/cultural activities are routinely offered to participants. Some trips will be overnight and most will involve transportation on a bus and/or train. The Undersigned fully understands that there are certain dangers, hazards, and risks inherent in international travel, the group excursions, and in the activities included in the SAI program and have signed this document in full recognition and appreciation of the dangers of these activities, which dangers include, but are not limited to, physical injuries (minimal, serious, catastrophic) and/or property loss or damage. The Undersigned expressly acknowledge that the participant is not required to participate in this SAI program, but chooses to do so. The Undersigned therefore agrees to assume and take on all responsibilities in any activities associated with the SAI program. In consideration of, and in return for, the service, facilities and other assistance provided to participants by SAI or it’s US office (and their governing boards, employees, and agents) we, along with any of our assignees, heirs, distributees, guardians, and legal representatives release SAI and its school institutions from any and all liability, claims and actions that may arise from injury, harm or death to the Undersigned and from loss or damage to the Undersigned's property in connection with these activities. The Undersigned understands that this release covers liability, claims and actions caused entirely or in part by any acts or failure to act by the SAI institution and/or SAI office, including but not limited to negligence, mistake, or failure to supervise by SAI and/or it’s US office or any damage to property that occurs during non-SAI travel or activities. III. CODE OF CONDUCT I understand that every student attending a Study Abroad Italy (SAI) program is required to abide by all rules, regulations and procedures established by SAI and the host institution. As a representatives of my home college or university, and of my native country, I am responsible for my conduct abroad. SAI encourages me to set goals for myself in order to achieve the best academic, cultural and personal study abroad experience possible. I understand that SAI reserves the right to dismiss a student from the program on the basis of conduct that causes concern for my safety and well-being, or the safety and well-being of others. The SAI Directors, along with the host school Dean, have the authority to make the final decision on a participant's dismissal from the program. I understand that any information regarding behavior found to be disruptive or offensive to the SAI program may be released to my home institution's study abroad office. Misconduct includes, but is not limited to: • Violation of Italian laws • Violation of host school or SAI housing rules and regulations • Actions that, in the opinion of the school and/or SAI staff, jeopardize my welfare, the welfare of others or the welfare of the program

• Damage to, or destruction of, school, residence, or student property • Reckless or dangerous behavior • The use of threats or physical violence • Excessive alcohol consumption, substance abuse or use of illegal drugs

I understand that SAI has a zero-tolerance policy regarding excessive alcohol consumption, substance abuse and illegal drugs. If, by any means, the SAI on-site staff become aware that I have engaged in excessive consumption of alcohol or use of illegal drugs, I will be immediately subject to eviction from SAI housing, and probation or expulsion from the program. I understand that SAI strongly encourages me to avoid situations in which excessive alcohol consumption and/or drug use is present. IV. TRANSCRIPT RELEASE/SECURITY DEPOSIT REFUND Transcripts are released approximately 8 weeks after a term ends. SAI reserves the right to withhold a transcript in the case of unpaid balances due to SAI, its academic institutions or any SAI agent (including Student Cells and housing agencies). Security Deposits and any other monies held will be refunded in full within 60 days of the end of a term minus any apartment damages or unpaid balances due to SAI, its academic institutions or any agent, contractor or program partner. Transcripts will be released once all accounts are paid in full. V. CANCELLATION / WITHDRAWAL POLICY Check-in day is considered the start of the term. The Confirmation Deposit is NOT REFUNDABLE. Further Program Cost liability is based on the date on which a formal cancellation request is received in writing. If a cancellation notice is received: - Italy Programs: • 60 - 46 days prior to the start of a term the student is liable for 10% of the program cost. • 45 - 31 days prior to the start of a term the student is liable for 20% of the program cost. • 30 - 8 days prior to the start of a term the student is liable for 50% of the program cost. • 7 days or less prior to the start of a term the student is liable for 100% of the full program cost. - London Programs: • 60 - 46 days prior to the start of a term the student is liable for 20% of the program cost. • 45 days or less prior to the start of a term the student is liable for 100% of the full program cost. VI. Housing Only Cancellation Policy: Italy and London Programs In the case of a student deciding to cancel their housing request the following penalty will apply, based on the date of withdrawal: • LONDON: 61 days or more prior to start of term student is liable for 10%of housing cost. • ALL PROGRAMS INCLUDING LONDON: 60 days or less before the move in date student is liable for 100% of the housing cost. SAI does not determine course offerings abroad nor is SAI responsible for course or program cancellations. The host schools reserve the right to cancel courses/programs up to four weeks prior to the start of the term should the minimum number of required students for a course or program not be met. If a course/program is canceled, students will be offered an alternate course/program. In certain circumstances SAI may be able to offer a "rain check" on your enrollment, allowing you to register for a future term. However neither SAI nor the Host Schools are responsible for ANY fees incurred due to program cancellation (including airfare charges). For this reason, SAI strongly recommends that students always select an ALTERNATE course/program and/or purchase travel and tuition insurance. I give SAI permission to speak to my parent(s) or guardian regarding any matters, including financial, that may arise related to my enrollment and participation in the SAI program.

 Yes  No With my signature, I give SAI permission to use any photo taken of me while on the SAI program (excursions/activities, etc.) for use in SAI web and print materials. I am aware that this is a Release of Liability and a Contract between SAI and myself, and sign it of my own free will. I agree to terms set by SAI in this agreement. Signature of Participant

Date

Signature of Parent / Legal Guardian if Participant is under 18 years of age

Date

Personal Statement Tell us the reasons for your decision to study abroad, and what you hope to accomplish during your time. Essays are limited to a single page (this form can be used if you like) and typed is preferred. If using a separate page, this form must be signed and attached (if applicable) to your statement.

Applicant’s Signature

Date

STUDY ABROAD ASSUMPTION of RISK and RELEASE FORM

THIS IS A RELEASE OF LEGAL RIGHTS B READ AND UNDERSTAND BEFORE SIGNING. Name of Student:_______________________________________________________________ Date of Birth:__________________________________________________________________ (If Student is under 18 years of age, a parent or legal guardian must also read and sign this form.) Program: _____________________________________________________________________ In consideration of being allowed to participate in the Program specified above, I hereby agree as follows: 1. Risks of Study Abroad. I understand that participation in the Saint Mary=s University of Minnesota Study Abroad Program specified above (the AProgram@) is voluntary and involves risk not found in study at Saint Mary=s University of Minnesota (Athe University@). These include risks involved in traveling to and within, and returning from, one or more foreign countries; foreign political, legal, social, and economic conditions; different standards of design, safety and maintenance of buildings, public places and conveyances; local medical and weather conditions; and other matters described on a separate Program Risk form which I have received, reviewed, and signed, and which is incorporated by reference in this Release Form. I understand that the University cannot guarantee my absolute safety during the program, cannot monitor my daily personal decisions, choices, and activities, cannot prevent me from engaging in illegal or risky activities if I ignore rules and advice from the University, cannot represent my interests if I am accused of illegal activities, and cannot ensure local adherence to United States norms of individual rights, political correctness and sensitivity, relationships between the sexes, and relations among racial, cultural, and ethnic groups. I have made my own investigation and am willing to accept these risks. 2. Institutional Arrangements. I understand that the University does not represent or act as an agent for, and cannot control the acts or omissions of, any host institution, host family, transportation carrier, hotel, tour organizer, apartment building, apartment manager, or other provider of goods or services involved in the Program. I understand that the University is not responsible for matters that are beyond its control. I hereby release the University from any injury, loss, damage, accident, delay or expense arising out of any such matters. 3. Independent Activity. I understand that the University is not responsible for any injury or loss I may suffer when I am traveling independently or am otherwise separated or absent from any University-supervised activities.

4. Health and Safety. A. I have consulted with a medical doctor about my personal medical needs. No health-related reasons or problems exist which preclude or restrict my participation in this Program. B. I am aware of all applicable personal medical needs. I am and will be covered, during the Program, by a policy of comprehensive health and accident insurance that provides coverage for injuries and illnesses I sustain or experience while studying abroad. Said insurance will specifically provide coverage for injuries or illnesses sustained or experienced in the countries in which I will be living and/or traveling during the Program. I recognize that the University is not obligated to attend to any of my medical or medication needs, and I assume all risk and responsibility therefor. If I require medical treatment or hospital care, in a foreign country or in the United States, during the Program, the University is not responsible for the cost or quality of such treatment or care. C. The University may (but is not obligated to) take any actions it considers to be warranted under the circumstances regarding my health and safety. I agree to pay all expenses relating thereto and release the University from any liability for any actions. I specifically grant the University permission to authorize emergency medical treatment for me, if necessary. I release the University from all responsibility for any injury or damage that might arise out of or in connection with such authorized emergency medical treatment. 5. Standards of Conduct. A. I understand that each foreign country has its own laws and standards of acceptable conduct, including dress, manners, morals, politics, drug use and behavior. I recognize that behavior which violates those laws or standards could harm the University=s relations with those countries and the institutions therein, as well as my own health and safety. I will become informed of, and will abide by, all such laws and standards for each country to or through which I will travel during the Program. B. I will comply with the University=s rules, standards and instructions for student behavior in the Program. I will also comply with the University=s general rules, standards, policies and procedures for student behavior. I waive and release all claims against the University that arise at a time when I am not under the direct supervision of the University or that are caused by my failure to remain under such supervision or to comply with such rules, standards, and instructions. C. I agree that the University has the right to enforce, in its sole judgment, the standards of conduct described above. I agree that the University may impose sanctions, up to and including expulsion from the Program, for violating these standards or for any behavior detrimental to or incompatible with the interest, harmony, and welfare of the University, the Program, or other participants. 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. I understand that if I am expelled from the Program, the University may refer me to the

appropriate University officials for further disciplinary or other action. If I am expelled, I consent to being sent home at my own expense with no refund of fees. D. I will attend to any legal problems I encounter with any foreign nationals or government of the host country. The University is not responsible for providing any assistance under such circumstances. 6. Program Changes. The University reserves the right to make cancellations, substitutions or changes to the Program at any time for any reason, with or without notice. I understand that the University=s fees and program charges are based on current airfares, lodging rates and travel costs, which are subject to change. If I leave or am expelled from the Program for any reason, there will be no refund of fees already paid. I accept all responsibility for loss or additional expenses due to delays, delayed or changed departure or arrival times, fare changes, dishonors of hotels, airline or vehicle rental reservations, missed carrier connections, sickness, injuries, weather, strikes, acts of God, war, quarantine, civil unrest, public health risks, criminal activity, terrorism, bankruptcies of airlines or other service providers, unforeseen causes, and circumstances beyond the University=s control. If weather, flight schedules or other uncontrollable factors require me to incur additional hotel, meal, airline, or other expenses, I will be responsible for said expenses. My baggage and personal property are my sole responsibility.

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. The University reserves the right, in its sole discretion, to cancel the Program or any aspect thereof prior to departure and, in its sole discretion, to cancel the Program or any aspect thereof after departure, requiring that all participants return to the United States, if the University determines or believes that any participant is or will be in danger if the Program or any aspect thereof is continued. 7. Assumption of Risk and Release of Claims. Knowing the risks described above, and in consideration of being permitted to participate in the Program, I agree, on behalf of my family, heirs, and personal representative(s), to assume all the risks and responsibilities surrounding my participation in the Program. To the maximum extent permitted by law, I release and indemnify the Saint Mary=s University of Minnesota, its trustees, and its officers, employees and agents, from and against any present or future claim, loss or liability for injury to person or property which I may suffer, or for which I may be liable to any other person, during my participation in the Program (including periods in transit to or from any country where the Program is being conducted).

I have carefully read this Release Form before signing it. No representations, statements, or inducements, oral or written, apart form the foregoing written statement, have been made. This agreement will become effective only upon receipt of my application for the Program by the Saint Mary=s University of Minnesota at its offices in Minnesota and will be governed by the laws of the state of Minnesota, which will be the forum for any lawsuits filed under or incident to this agreement or to the Program. ___________________________________________________________ Signature of Student Date

I (A) am the parent or legal guardian of the above Student, (B) have read the foregoing Release Form (including such parts as may subject me to personal financial responsibility), 8 am and will be legally responsible for the obligations and acts of the Student as described in this Release Form, and (D) agree, for myself and for the Student, to be bound by its terms. ____________________________________________________________ Signature of Parent/Guardian Date (If Student is under 18 years of age, a parent or legal guardian must also read and sign this form.)

Return all completed application materials to: Saint Mary's University of Minnesota Study Abroad Office Saint Mary’s Hall, Room 136 700 Terrace Heights #51 Winona, MN 55987-1399 Phone: (507) 457-1447 Fax: (507) 457-6990 [email protected]

STUDY ABROAD PROGRAM RISKS ITALY COUNTRY DESCRIPTION: Italy is a developed democracy with a modern economy. The Holy See is a sovereign entity that serves as the ecclesiastical, governmental, and administrative capital of the Roman Catholic Church, physically located within the State of the Vatican City inside Rome, with a unique, non-traditional economy. San Marino is a developed, constitutional democratic republic, also independent of Italy, with a modern economy. Tourist facilities are widely available. SMART TRAVELER ENROLLMENT PROGRAM (STEP) / EMBASSY LOCATION: If you are going to live or visit Italy, San Marino, or the Holy See, please take the time to tell our embassy or consulates about your trip by enrolling in the Smart Traveler Enrollment Program, https://travelregistration.state.gov/ibrs/ui/ If you enroll, we can keep you up to date with important safety and security announcements; it will also help your friends and family get in touch with you in an emergency. Local embassy information is available below and at the Department of State’s list of embassies and consulates. U.S. Embassy Rome Via V. Veneto 119/A, Rome, Italy Telephone: 39-06-46741 Facsimile: 39-06-4674-2217 Email: [email protected] U.S. Embassy to the Holy See Via delle Terme Deciane 26, Rome, Italy Telephone: 39-06-4674-3428 Facsimile: 39-06-575-8346 U.S. Consulate General Florence Lungarno Amerigo Vespucci 38, Florence, Italy Telephone: 39-055-266-951 Facsimile: 399-055-215-550 Email: [email protected] U.S. Consulate General Milan Via Principe Amedeo 2/10, Milan, Italy Telephone: 39-02-290-351 Facsimile: 39-02-290-35-273 Email: [email protected] U.S. Consulate General Naples

Piazza della Repubblica, Naples, Italy Telephone: 39-081-583-8111 Facsimile: 39-081-583-8275 Email: [email protected] There are U.S. Consular Agents located in the following Italian cities: Genoa Via Dante 2, Genoa, Italy Telephone: 39-010-584-492 Facsimile: 39-010-553-3033 Email: [email protected] Palermo Via Vaccarini 1, Palermo, Italy Telephone: 39-091-305-857 Facsimile: 39-091-625-6026 Email: [email protected] Venice Viale Galileo Galilei 30, Venice, Italy Telephone: 39-041-541-5944 Facsimile: 39-041-541-6654 Email: [email protected] ENTRY / EXIT REQUIREMENTS FOR U.S. CITIZENS: Italy is a party to the Schengen Agreement. As such, U.S. citizens may enter Italy for up to 90 days for tourist or business purposes without a visa. The passport should be valid for at least three months beyond the period of stay. For all other purposes, you need a visa, which you must get from an Italian Embassy or Consulate before entering Italy. For further information concerning visas and entry requirements for Italy, you may contact the Embassy of Italy at 3000 Whitehaven Street NW, Washington, DC 20008, or via telephone at (202) 612-4400; or Italian Consulates General in Boston, Chicago, Detroit, Houston, Los Angeles, Miami, Newark, New Orleans, New York, Philadelphia, or San Francisco, accessible through the Italian Embassy website. Are you a non-resident? U.S. citizens staying or traveling within Italy for less than three months are considered non-residents. This includes persons on vacation, those taking professional trips, students registered at an authorized school, or persons performing research or independent study. Under Italian law, all non-residents are required to complete a dichiarazione di presenza (declaration of presence). Tourists arriving from a non-Schengen-country (e.g. the United States) should obtain a stamp in their passport at the airport on the day of arrival. This stamp is considered the equivalent of the declaration of presence. Tourists arriving from a Schengencountry (e.g. France) must request the declaration of presence form from a local police office (commissariato di zona), police headquarters (questura) or their place of stay (e.g hotel, hostel,

campgrounds) and submit the form to the police or to their place of stay within eight business days of arrival. It is important that applicants keep a copy of the receipt issued by the Italian authorities. Failure to complete a declaration of presence is punishable by expulsion from Italy. Additional information may be obtained (in Italian only) from the Portale Immigrazione and the Polizia di Stato. Are you a resident? U.S. citizens staying in Italy for more than three months are considered residents and must obtain a permesso di soggiorno (permit of stay). This includes U.S. citizens who will work or transact business and persons who want simply to live in Italy. An application "kit" for the permesso di soggiorno can be requested from one of 14,000 national post offices (Poste Italiane). The kit must then be returned to one of 5,332 designated Post Office acceptance locations. It is important that applicants keep a copy of the receipt issued by the post office. Additional information may be obtained from the Italian immigration website. Within 20 days of receiving the permit to stay in Italy, U.S. citizens must go to the local Vital Statistics Bureau (Anagrafe of the Comune) to apply for residency. It generally takes one to two months to receive the certificate of residence (Certificato di Residenza). The U.S. Department of State is unaware of any HIV/AIDS entry restrictions for visitors to or foreign residents of Italy. THREATS TO SAFETY AND SECURITY: Several major earthquake fault lines cross Italy. Principal Italian cities, with the exception of Naples, do not lie near these faults; however, smaller tourist towns, such as Assisi, do lie near faults, and have experienced earthquakes. An earthquake severely damaged the town of L’Aquila in 2009. General information about disaster preparedness is available online from the U.S. Federal Management Agency (FEMA). Detailed information on Italy's fault lines is available from the U.S. Geological Survey (USGS). Italy also has several active volcanoes generating geothermal events. Mt. Etna, on the eastern tip of the island of Sicily, has been erupting intermittently since 2000. Mt. Vesuvius, located near Naples, is currently capped and not active. Activity at Mt. Vesuvius is monitored by an active seismic network and sensor system, and no recent seismic activity has been recorded. Two of Italy's smaller islands, Stromboli and Vulcano, in the Aeolian Islands north of Sicily, also have active volcanoes with lava flows. Detailed information on volcano activity in Italy is available from the USGS. Politically motivated violence in Italy is most often connected to Italian internal developments or social issues. Italian authorities and foreign diplomatic facilities have found bombs outside public buildings, received bomb threats, and were subjects of letter bombs. Buildings or offices are sometimes the targets of firebombs or Molotov cocktails, although generally at night; such incidents are instigated by organized crime or anarchist movements, and have not targeted or injured U.S. citizens. Demonstrations may have an anti-American character, especially in areas hosting U.S. military bases. Even demonstrations intended to be peaceful have the potential to turn confrontational and possibly escalate into violence. You should take common sense precautions and follow news reports carefully. Stay up to date by reading the Embassy’s Demonstration Notices. Italian authorities have made several high-profile arrests involving members or affiliates of

transnational terror groups. Like other countries in the Schengen area, Italy’s open borders with its Western European neighbors allow for the possibility of terrorist groups entering/exiting the country with anonymity. CRIME: Italy has a moderate rate of crime. You should exercise extra caution at night and at train stations, airports, nightclubs, bars, and outdoor cafes. If you are drinking heavily, your ability to judge situations and make decisions may be impaired and this can make you a target for crime. Young drinkers are particularly vulnerable to robbery and physical and sexual assault. Petty crimes such as pick-pocketing, theft from parked cars, and purse snatching are serious problems, especially in large cities. Pick-pockets sometimes dress like businessmen. You should not be lulled into a false sense of security by believing that well-dressed individuals are not potential pick-pockets or thieves. Most reported thefts occur at crowded tourist sites, on public buses or trains, or at the major railway stations: Rome's Termini; Milan's Centrale; Florence's Santa Maria Novella; and Naples' Centrale at Piazza Garibaldi. For more information on trains and security, please see the Italian railway police’s advice for travelers at http://www.poliziadistato.it/articolo/view/22329/. You should also be alert to theft in Milan’s Malpensa Airport, particularly at car rental agencies. Clients of Internet cafes in major cities are also targeted. Be careful with your bag or purse, as thieves on motor scooters are very quick and can snatch a purse off of your arm from a moving scooter. Resisting these thieves can be hazardous, as some tourists have suffered broken arms and collarbones. Thieves in Italy often work in groups or pairs. Pairs of accomplices or groups of children are known to divert tourists' attention so that another can pick-pocket them. In one particular routine, one thief throws trash, waste, or ketchup at the victim; a second thief assists the victim in cleaning up the mess; and the third discreetly takes the victim's belongings. Criminals on crowded public transportation slit the bottoms of purses or bags with a razor blade or sharp knife removing the contents. Some travelers in Rome, Florence, and Naples have reported incidents where criminals used drugs to assault or rob them. These incidents have been reported near Rome’s Termini train station; at bars and cafes near Rome’s Colosseum, Colle Oppio, Campo de Fiori, and Piazza Navona; and at bars or cafes in the center of Florence and Naples. Criminals using this tactic “befriend” you at a train station, restaurant, café, or bar, and then offer you a drink laced with a sleeping drug. When you fall asleep, criminals steal your valuables and may sexually assault you. Some victims of these assaults in Rome have required hospitalization and two cases resulted in death. Thieves are also known to have impersonated police officers in order to steal. The thief shows you a circular plastic sign with the words "police" or “international police" and then in perfect English asks to see your identification and your money. U.S. citizens should be aware that local police will generally exit their own vehicle when speaking with members of the public. Also, plainclothes undercover units rarely attempt to pull over vehicles without a marked car accompanying them. If this happens to you, you should insist on seeing the officer's identification card (documento), before handing over your wallet as impersonators tend not to carry forged documents. You should immediately report thefts or other crimes to the actual police.

Be alert to the possibility of carjacking and thefts while you are waiting in traffic or stopped at traffic lights. This has been a particular problem in Catania, Sicily. Use particular caution driving at night on highways, when thieves are more likely to strike. Americans have reported break-ins of their rental cars during stops at highway service areas; thieves smash car windows and steal everything inside. Theft of small items such as radios, luggage, cameras, briefcases, and even cigarettes from parked cars is prevalent. Vehicles parked near beaches during the summer can be broken into and robbed of valuables. Lock car doors whenever you park, and do not leave packages in your car in plain view. The U.S. Secret Service in Rome is assisting Italian Law Enforcement authorities in investigating an increase in the appearance of ATM skimming devices. These devices are attached to legitimate bank ATMs, usually located in tourist areas, and capture the account information stored electronically on the card’s magnetic strip. The devices consist of a card reader installed over the legitimate reader and a pin-hole video camera mounted above the keypad that records the customer’s PIN. ATMs with skimming devices installed may also allow normal transactions to occur. The victim’s information is sold, traded on-line, or encoded on another card such as a hotel key card to access the compromised account. Here are some helpful hints to protect against and identify skimming devices: 1) Use ATMs located in well-lighted public areas, or secured inside a bank/business 2) Cover the keypad with one hand as you enter your PIN 3) Look for gaps, tampered appearance, or other irregularities between the metal faceplate of the ATM and the card reader 4) Avoid card readers that are not flush with the face of the ATM 5) Closely monitor your account statements for unauthorized transactions Organized criminal groups operate throughout Italy, but are more prevalent in the south. They occasionally resort to violence to intimidate or to settle disputes. Though the activities of such groups are not generally targeted at tourists, visitors should be aware that innocent bystanders could be injured. Don’t buy counterfeit and pirated goods, even if they are widely available. Not only are the bootlegs illegal to bring back into the United States, if you purchase them you may also be breaking local law. According to Italian Law (Law 80 of May 14, 2005), anyone caught buying counterfeit goods (for example, DVDs, CDs, watches, purses, bags, belts, sunglasses, etc.) is subject to a fine of no less than EUR 1,000. Police in major Italian cities enforce this law to varying degrees. You are advised to purchase products only from stores and other licensed retailers to avoid unknowingly buying counterfeit and illegal merchandise. Back to Top VICTIMS OF CRIME: If you or someone you know becomes the victim of a crime abroad, you should contact the local police and the nearest U.S. embassy or consulate. We can: 

Replace a stolen passport.



For violent crimes such as assault or rape, help you find appropriate medical care,



Put you in contact with the appropriate police authorities and, if you want us to, we can contact family members or friends.



Although the local authorities are responsible for investigating and prosecuting the crime, consular officers can help you understand the local criminal justice process and can direct you to local attorneys.

The local equivalent to the “911” emergency line in Italy is 113. Please see our information on victims of crime, including possible victim compensation programs in the United States. CRIMINAL PENALTIES: While you are traveling in Italy, you are subject to its laws even if you are a U.S. citizen. Foreign laws and legal systems can be vastly different than our own, and criminal penalties vary from country to country. There are also some things that might be legal in the country you visit, but still illegal in the United States; for instance, you can be prosecuted under U.S. law if you buy pirated goods. Engaging in sexual conduct with children or using or disseminating child pornography in a foreign country is a crime prosecutable in the United States. If you break local laws in Italy, your U.S. passport won’t help you avoid arrest or prosecution. It’s very important to know what’s legal and what’s not where you are going. Arrest notifications in host country: While some countries will automatically notify the nearest U.S. embassy or consulate if a U.S. citizen is detained or arrested in a foreign country, that might not always be the case. To ensure that the United States is aware of your circumstances, request that the police and prison officials notify the nearest U.S. embassy or consulate as soon as you are arrested or detained overseas. SPECIAL CIRCUMSTANCES: Strikes and other work stoppages occur frequently in the transportation sector (national airlines, airports, trains, and bus lines); most are announced in advance and are of short duration. Reconfirmation of domestic and international flight reservations is highly recommended. You must obey local transportation laws and regulations. You must purchase train tickets and validate them by punching them in validating machines usually located near the entrance of train tracks prior to boarding. Failure to follow this procedure may result in an on-the-spot fine by an inspector on the train. You must purchase bus tickets prior to boarding and validate them immediately after boarding. Tickets may be purchased at tobacco stores or kiosks. Failure to follow this procedure may result in an immediate fine imposed by an inspector on the bus. If the violator does not pay the fine on the spot, it will automatically double and will be forwarded to the violator’s home address. You must obey local driving laws and regulations. Vehicle traffic in some historic downtown areas of cities and towns throughout Italy is limited by a system of permits (called “ZTL” and functioning the same way as an electronic toll system in the United States might on the freeway). Cameras record the license plates of cars driving in parts of the city that require a permit. Although most of the automated verification stations are clearly marked, if a driver passes one it is impossible to know at the time that a violation occurred or has been recorded. Violators are not pulled over or stopped, and there is no personal contact with a police officer. Whenever

possible, the fines imposed for these violations are forwarded to the driver’s home in the United States to request payment. Notice from Italian authorities of a violation may take a year or longer to arrive. The fines are cumulative for each time a driver passes a control point. A similar system of automated traffic control cameras is in place in many parts of the highway system and is used to ticket speeding violations. Accessibility: While in Italy, travelers with disabilities may find accessibility and accommodation different from what is found in the United States. Many find Italy’s narrow cobbled streets and storied monuments charming; they can, however, be a challenge for physically impaired travelers. Many Italian sidewalks lack ramps, some Italian streets lack sidewalks altogether, or for instance in the case of Venice, may feature staircases and narrow pedestrian bridges. While some major sights and hotels have put time and planning into ensuring accessibility, there are others that lack ramps, elevators, or handicap-accessible bathrooms. Advance planning can go a long way in making a difference in accommodation for disabled travelers. Inform airlines and hotels of your disabilities when making reservations as some time may be needed to prepare accommodation. Call ahead to restaurants, museums, and other facilities to find out if they are wheelchair-accessible. Most, but not all train stations in Italy have accommodations for those traveling in wheelchairs. With advance notice, personal assistance can be provided to a disabled person traveling through a particular station. More information is available at Trenitalia's website addressing disabled travelers. For those who wish to rent cars, hand-controlled vehicles are available in Italy from major car-rental companies. You should contact the car rental company well in advance of your trip in order to reserve the vehicle. Remember that Italy functions on 220 volt current. To recharge an electric wheelchair motor you may require a transformer to change the 220 current to 110 volts, as well as an adaptor to adjust the plug to fit Italian electric sockets. MEDICAL FACILITIES AND HEALTH INFORMATION: Medical facilities are available, but may be limited outside urban areas. Public hospitals, though generally free of charge for emergency services, sometimes do not maintain the same standards as hospitals in the United States, so you are encouraged to obtain insurance that would cover a stay in a private Italian hospital or clinic. It is almost impossible to obtain an itemized hospital bill from public hospitals, as required by many U.S. insurance companies, because the Italian National Health Service charges one inclusive rate (care services, room and board). In parts of southern Italy, the lack of adequate trash disposal and incineration sites has led to periodic accumulations of garbage in urban and rural areas. In some cases, residents have burned garbage, resulting in toxic emissions that can aggravate respiratory problems. The U.S. Navy initiated a public health evaluation in the Naples area in 2008. After finding levels of bacterial and chemical contamination of potential health concern, particularly in samples of area well water, the Navy recommended all personnel living off-base in the Naples area use only bottled water for drinking, cooking, ice-making, and brushing teeth. You can find good information on vaccinations and other health precautions, on the CDC website. For information about outbreaks of infectious diseases abroad, consult the World Health Organization (WHO) website, which also contains additional health information for travelers, including detailed country-specific health information.

MEDICAL INSURANCE: You can’t assume your insurance will go with you when you travel. It’s very important to find out BEFORE you leave. You need to ask your insurance company two questions: 

Does my policy apply when I’m out of the U.S.?



Will it cover emergencies like a trip to a foreign hospital or a medical evacuation?

In many places, doctors and hospitals still expect payment in cash at the time of service. Your regular U.S. health insurance may not cover doctors’ and hospital visits in other countries. If your policy doesn’t go with you when you travel, it’s a very good idea to take out another one for your trip. TRAFFIC SAFETY AND ROAD CONDITIONS: While in Italy, you may encounter road conditions that differ significantly from those in the United States. Italy has one of the highest rates of car accident deaths in the European Union. Streets in Italian historic city centers are often narrow, winding, and congested. Motor scooters are very popular, and scooter drivers often see themselves as exempt from conventions that apply to automobiles. Pedestrians and drivers should be constantly alert to the possibility of a scooter’s sudden presence. Most vehicle-related deaths and injuries involve pedestrians or cyclists who are involved in collisions with scooters or other vehicles. Be particularly cautious if you rent a scooter. You should remain vigilant and alert when walking or cycling near traffic. Pedestrians should be careful, as sidewalks can be extremely congested and uneven. Drivers of bicycles, motorcycles, and other vehicles routinely ignore traffic signals and traffic flows, and park and drive on sidewalks. For safety, pedestrians should look carefully in both directions before crossing streets, even when using a marked crosswalk with a green avanti ("walk") light illuminated. Traffic lights are limited and often disobeyed, and a different convention of right-of-way is observed. Italy has over 5,600 kilometers (3,480 mi.) of Autostrada, or superhighways. Commercial and individual vehicles travel and pass on these well-maintained roads at very high speeds. In rural areas, a wide range of speed on highways makes for hazardous driving. Roads are generally narrow and often have no guardrails. Travelers in northern Italy, especially in winter, should be aware of fog and poor visibility, responsible for multiple-car accidents each year. Most Italian automobiles are equipped with special fog lights. Roadside assistance in Italy is excellent on the well-maintained toll roads, but limited on secondary roads. Use of safety belts and child restraining devices is mandatory and headlights should be on at all times outside of urban areas. U.S. citizens driving in Italy should also note that, according to Italian regulation, if a resident of a non-European Union country (e.g. the United States) violates a traffic law, the violator must pay the fine at the time the violation occurs to the police officer issuing the ticket. If the citizen does not or cannot pay the fine at the time, Italian regulation allows the police officer to confiscate the offender’s vehicle (even if the vehicle is a rental vehicle). For specific information concerning Italian driving permits, vehicle inspection, road tax, and mandatory insurance, contact the Italian Government Tourist Board (ENIT), tel: 212-245-5618; or the A.C.I. (Automobile Club d’Italia) at Via Marsala 14A, 00185 Rome, tel: 39-06-49982496. For information on obtaining international drivers licenses, contact AAA or the American

Automobile Touring Alliance. Please refer to our Road Safety page for more information. AVIATION SAFETY OVERSIGHT: The U.S. Federal Aviation Administration (FAA) assessed the Government of Italy’s Civil Aviation Authority as being in compliance with International Civil Aviation Organization (ICAO) aviation safety standards for oversight of Italy's air carrier operations. (Adapted from U.S. Department Consular Information Sheet) ___________________________________________________________ Signature of Student Date

Revised January 5, 2012

General Safety Guidelines: * Keep a low profile. Try to avoid identifying yourself by dress, speech, or behavior as an American. Do not draw attention to yourself through expensive dress, personal accessories or careless behavior. * Avoid protest groups or other potentially volatile situations as well as restaurants and entertainment places where Americans are known to congregate. * Keep abreast of local news. Be alert to any potential civil unrest. In the event of disturbances, do not get involved. * Be wary of unexpected packages and stay clear of unattended luggage or parcels in airports, train stations, and other areas of uncontrolled public access. * Report to the responsible authorities if suspicious persons are loitering around residence or instructional facilities or are following you. Keep your residence locked. Do not divulge information to strangers about yourself, your study program, or your fellow students. * Insure that the director of your program always know’s where and how to contact you in an emergency. When you travel, even if only overnight, leave your itinerary with the director. * Know local laws. Do not assume that because something is legal in the United States, it is legal abroad. * Use banks to exchange money. Do not exchange it on the street. Do not carry more money on your person than you need for the day. Carry your credit cards in a very safe place. * Do not impair your judgment through the excessive consumption of alcohol. * If you are a female, dress conservatively. Avoid walking alone at night or in questionable neighborhoods. Do not agree to meet a person whom you do not know in a secluded place. Be aware that some men from other countries tend to mistake the friendliness of American women for romantic interest. (Adapted from Study Abroad, A Parent=s Guide, by William W. Hoffa, published by NAFSA: Association of International Educators)

STUDY ABROAD INSURANCE VERIFICATION Student's Name__________________________________________

NOTE: All students are required to have adequate medical coverage while overseas. When traveling outside of the United States, it is recommended that you take health insurance claim forms with you in the event of an illness or accident. If medical attention is required, the claim form should be completed by the physician and/or hospital staff. A receipt for billing, written in American dollars, should also be obtained. Should you not have a claim form, a complete billing statement indicating the specific illness diagnosed, specific medical services performed, and a detailed cost breakdown is needed. You should check with your health insurance company for particulars: • • •

Emergency Medical Evacuation Emergency Family Bedside Visit Repatriation of Remains

If you don’t have these insurance coverages, or cannot obtain a rider for the existing policy, please contact the Study Abroad Office. Name and address of insurance company:

Holder of the policy: Employer (if insured through employer):_________________________________________________ Policy number:_____________________________________________________________________ Date

Student Signature

Parent/Guardian Signature (If the student is under 18 years of age, a parent or legal guardian must also read and sign this form).

Return all completed application materials to: Saint Mary's University of Minnesota Study Abroad Office Saint Mary’s Hall, Room 136 700 Terrace Heights #51 Winona, MN 55987-1399 Phone: (507) 457-1447 Fax: (507) 457-6990 [email protected]

STUDY ABROAD HEALTH INFORMATION FORM

NAME________________________________________ The purpose of this form is to help the Study Abroad staff be of maximum assistance to you should the need arise during your study abroad experience. Mild physical or psychological disorders can become serious under the stresses of life while studying abroad. It is important that staff be made aware of any medical or emotional problems, past or current, which might affect you in a foreign study context. The information provided will remain confidential and will be shared with program staff, faculty, or appropriate professionals only if pertinent to your own well-being. The Study Abroad Program may not be able to accommodate all individual needs or circumstances. This information does not affect your admission into the program. MEDICAL HISTORY Yes___ No___ 1. Are you generally in good physical condition? (If no, please explain.)

Yes___ No___ 2. Have you ever been treated or are you currently being treated for any psychological, emotional or chemical abuse conditions? (If yes, please explain.)

Yes___ No___ 3. Do you have any allergies? (If yes, please explain.)

Yes___ No___ 4. Are you taking any medications? (If yes, please explain.) If you are, we encourage you to check with your physician to be certain that you can obtain this medication overseas.

Yes___ No___ 5. Have you had any major injuries, diseases, or illnesses in the past five years? (If yes, please explain.)

Yes___ No___6. Do you have any dietary restrictions or considerations (i.e., diabetic, vegetarian, ulcer)? (If yes, please explain.)

Yes___ No___7. Is there any additional information (concerning medical conditions or physical disabilities) that would be helpful for staff to be aware of during your study abroad experience? (If yes, please explain.)

Please be advised that all students are required to have adequate medical coverage while overseas. Refer to the Insurance Verification Form enclosed for more information. I certify that all responses made on this Health Information Form are true and accurate, and I will notify the Study Abroad Office of any relevant changes in my health that occur prior to the start of the program. Student Signature________________________________________

Return all completed application materials to: Saint Mary's University of Minnesota Study Abroad Office Saint Mary’s Hall, Room 136 700 Terrace Heights #51 Winona, MN 55987-1399 Phone: (507) 457-1447 Fax: (507) 457-6990 [email protected]

STUDY ABROAD COURSE CHOICE FORM Name

In conjunction with your academic advisor, you should identify courses or requirements you will need for the subsequent semester. If you will not be returning to Saint Mary's University please note this on the form. This form is not your registration, but rather an advising form to be used to help you with the registration process. ----------------------------------------------------------------PRELIMINARY REGISTRATION Course Number

Course Title

1. ___ ___ 2. ___ ___ 3. ___ ___ 4. ___ ___ 5. ___ ___

Name of Advisor

Signature of Academic Advisor

Signature of Student Return all completed application materials to: Saint Mary's University of Minnesota Study Abroad Office Saint Mary’s Hall, Room 136 700 Terrace Heights #51 Winona, MN 55987-1399 Phone: (507) 457-1447 Fax: (507) 457-6990 [email protected]

STUDY ABROAD COURSE SUBSTITUTION FORM

Name:______________________________________________ Study Abroad Program: Florence______ To the student: Write down the course # and title of each study abroad course you wish to take. Then meet with the appropriate person(s) for approval of course substitutions. If you are seeking substitutions for you major(s) or minor(s), meet with that department chair. Meet with the Director of Academic Advising or the Director for Lasallian Honors Program to request approval for General Education course substitutions, depending on your participation in the Core Traditions or Honors Program. You need signatures for all LOND courses if you intend to have them substitute for major, minor or general education courses. To the Department Chair, or Director of Academic Advising, or Director of the Lasallian Honors Program: If you approve the substitutions suggested, please indicate the approved course substitution and whether it would substitute for a Major, Minor or General Education requirement. Please sign, date and return to the student.

Study Abroad Courses (# and title)

Approved SMU Course Substitutions

Indicate for Major/Minor/Gen. Ed

Return to: Saint Mary’s Hall, Room 136, Campus Box 51 Study Abroad Office - (www.smumn.edu/studyabroad)

Signature and Date

STUDY ABROAD POWER OF ATTORNEY FORM I (Print student name) extend power of attorney to:

Name Address City/St/Zip Phone Email_____________________________________

to endorse all loan checks and other financial aid materials as need be during the period from

to

.

Please sign your signature below in the presence of a Notary Public. You can find a Notary Public in the following offices on campus: President’s office - Executive Suite in Heffron Student Development - Toner Student Center 14 Business Office - Saint Mary’s 32 Campus Safety - Toner Student Center 103A

Student’s Signature

Date

Signature of Notary Public

Notary Seal Or Stamp

Notary’s commission expires Return all completed application materials to: Saint Mary's University of Minnesota Study Abroad Office Saint Mary’s Hall, Room 136 700 Terrace Heights #51 Winona, MN 55987-1399 Phone: (507) 457-1447 Fax: (507) 457-6990 [email protected]

STUDY ABROAD STUDENT CONDUCT AGREEMENT I understand that the following conduct is unacceptable, and that engaging in any of this conduct constitutes grounds for dismissal from the program at the sole discretion of the Program Director. In the event of dismissal, I understand I will be returned to the United States at my own expense.