Get Student Information And Health Form - Bates

Filling out the Student Information And Health Form is an important step for students preparing to participate in the Fall Semester Abroad Program. This guide will provide you with detailed, step-by-step instructions to help you complete the form efficiently and accurately online.

Follow the steps to fill out the Student Information And Health Form online.

1. Press the ‘Get Form’ button to access the form and open it in your online editor.
2. Begin completing the form by entering your full name and date of birth in the appropriate fields.
3. Fill in your home address and a summer address if it differs from your home address.
4. Provide your home telephone number, email address, and cell phone number.
5. Indicate your citizenship and enter your passport number, ensuring to attach a photocopy of the passport information page.
6. List the names and addresses of your parents or legal guardians, including their home, work, and cell telephone numbers.
7. Obtain a signature from your parent or legal guardian to confirm their awareness of your plans to study abroad.
8. Fill in your health insurance company information, including the policy number and company telephone number.
9. Provide full disclosure of any medical conditions you may have that the faculty should be aware of.
10. If applicable, include the name and telephone number of your physician or counselor.
11. Complete the Emergency Authorization section by signing and dating it to give the faculty permission to secure necessary medical treatment if needed.
12. Review all information for accuracy, then save changes, download the form, print it, or share it as needed.

Complete your Student Information And Health Form online now to ensure a successful study abroad experience.