SAP 1006 - Study Abroad Application

Study Abroad Application

Peru - Human Services in Action | Program Code: SAP 1006
Experience the World through PBSC Study Abroad Program - Video
Click Here 👈 to review Study Abroad Program: Information and Itinerary - PDF

*Please note that dual-enrolled students are not eligible to participate in this trip. I am a...*

Undergraduate StudentBachelor's Degree StudentCollege Faculty or StaffPBSC Alumni
As an undergraduate or bachelor's degree student at PBSC, you are required to register for and enroll in the 1-credit course GEA 2952 - Globalization: Study Abroad Experience. This course complements your corresponding 3-credit course and is recorded on your transcript to officially document your participation in the Study Abroad program. Please note that GEA 2952 is only 1 credit, not 3 credits. Disclaimer: It is not guaranteed that Financial Aid will cover the cost of GEA 2952. Students are responsible for covering the cost of this course, whether through Financial Aid or out of pocket. Please contact the Financial Aid Office for more information. To check PBSC's Tuition and Fees, visit: ( https://www.palmbeachstate.edu/finance/tuition-fees.aspx ). I understand and give permission to the Office of International Education to register and enroll me in the GEA 2952 course.*
As PBSC Alumni, you are required to register for and enroll in the 1-credit course GEA 2952 - Globalization: Study Abroad Experience. This course complements your Study Abroad Program and is recorded on your transcript to officially document your participation in the Study Abroad experience. Please note that GEA 2952 is only 1 credit, not 3 credits. Disclaimer: It is not guaranteed that Financial Aid will cover the cost of GEA 2952. Students are responsible for covering the cost of this course, whether through Financial Aid or out of pocket. Please contact the Financial Aid Office for more information. To check PBSC's Tuition and Fees, visit: ( https://www.palmbeachstate.edu/finance/tuition-fees.aspx ). I am interested in registering and enrolling in the GEA 2952 course. I also understand that I may need to reapply to the college as a "Student" or a "Non-degree seeking" student in order to have GEA 2952 processed.*
Signature*

Clear
As a Palm Beach State College Faculty/Staff member, if you desire, you can make a request for your spouse to possibly attend, but please note it may not be approved due to enrollment capacity. I am a...

Current PBSC Faculty and Staff Member applying for this programCurrent PBSC Faculty and Staff Member applying for this program with a request for spouse to attend
This trip allows you to earn academic credits (in addition to the required 1-credit GEA 2952 - Globalization: Study Abroad Experience course)

For enrollment assistance into the academic course(s), contact:
- Dr. Suzanne Duff (duffs@pbsc.edu)
I am a PBSC student who "plans to be" or "is going to be" enrolled in:*

HUS (1850C, 2851C, 4940C, 4945C) - (3 Academic credits) - Human Services, Dr. DuffBLANK - INTERNAL USE ONLY (DO NOT CLICK THIS BOX)Neither, just the required 1-credit GEA 2952 - Globalization: Study Abroad Experience course
Specific Criteria: Student Study Abroad Program Eligibility
- Preference and Priority: Students enrolled in the listed academic course(s) associated with the Study Abroad Program will be given priority for participation.
- Program Capacity: This process requires “Instructor Approval”, and Group Leads are under no obligation to admit and/or approve applicants who are not enrolled in the listed (corresponding) academic course(s) associated with the Study Abroad Program.
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If the program capacity allows, Group Leads may open the Study Abroad Program opportunity to any current and active PBSC student, provided they meet the following provisions:

1) List Three References: Students must provide three references
- One from a PBSC Professor or Staff member
- The other two can be from PBSC Faculty/Staff, an employer, or a community leader
2) Meet & Greet: Students must complete a brief "Meet & Greet" with at least one Group Lead. (Your contact info will be provided to a Group Lead; they will reach out to you)

4) Enroll: in the elective 1-credit Study Abroad Experience course. (The Office of International Education will enroll you)

5) GPA: PBSC Students must have a 2.5 GPA or higher (Upload a copy of your unofficial transcript)
List (3) References: Include full names, phone numbers, email addresses, and your relationship to each reference.*
Upload a copy of your "Unofficial" transcript *

Cancelof
Name*

First NameLast Name
PBSC Email Address*
example@my.palmbeachstate.edu
Personal email address*

Confirmation Emailexample@example.com
PBSC Student ID# | PBSC Employee ID#*
Example: A12345678
GPA*
Includes PBSC Alumni
Date of Birth*

MonthDayYear
As of today's date, I am 18 years or older*
Parent or Guardian Name *

First NameLast Name
If you are under the age of 18, please provide your parent’s or guardian’s email address:*

Confirmation Emailexample@example.com

Rooming Logistics

Read this section carefully to understand the rooming logistics.
Rooms will be assigned based on gender and age groups: Females within the same age group will be assigned to the same room. Males within the same age group will be assigned to the same room. *We will assign rooms based on gender and make every effort to match you with individuals in a similar age range. However, unless you choose a single room (available for an additional charge), you may be assigned a roommate who is a non-traditional student and older than your age group. *
I understand that I may be assigned a room with students from another college participating in the same trip or with a PBSC alumnus. Alternatively, you may choose a single room for an additional charge..*

I understandI would like to have my own room (Single room, available for an additional charge)

Passports & Visas
A valid passport is required for all PBSC Study Abroad programs. If you do not already have a passport, we strongly recommend applying for one immediately upon enrolling in the program, as processing can take up to eight weeks. U.S. citizens traveling internationally must have a passport that is valid for at least six months beyond the program’s return date and contains at least three blank pages.

For more information, visit: U.S. Passport Information
I and/or we ... *

Palm Beach State College - Student Code of Conduct (SCC)
Prohibited student conduct/behavior outlined in the Student Code of Conduct includes, but is not limited to, those listed here. Any student who is found to have engaged in these acts while under the jurisdiction of the College may be subject to the maximum penalty of expulsion or any other sanction authorized herein or specifically noted in the student’s program of study, including participation in this Short-term Study Abroad Program.

I have reviewed in its entirety, the Palm Beach State College Student Code of Conduct via this link (click here) and affirm that I am in good standing with the institution.

*Any students who "have been", "are in" violation or "become in violation" of the Student Code of Conduct, prior to this application submission date or after the date of this application and/or prior to the program departure date, may not be eligible to participate in this trip. If a student "is" or "becomes" in violation of the Student Code of Conduct and registers for the trip, they will be responsible for all loss of deposits and payments. Student(s) will also be responsible for all corresponding cancellation fees.

Student understands that Palm Beach State College and its Program Group Leader(s) are not responsible for any financial loss due to a student committing and/or have committed a violation which results/resulted in College denial of Study Abroad Program participation.
I understand the SCC*
Initials*

Emergency Contact Information and Medical Treatment Form

If all of the requested information is not cited, it may significantly delay and/or void your application
You will need to list the emergency contact information of two (2) individuals.

*If you are under 18 years of age at the time of completing this application, you must provide the names of two (2) immediate family members (parents, caretakers, or custodians). **If you live with only one immediate family member, you may list an extended family member (such as an aunt, uncle, grandmother, or grandfather).

List in the following order...

1) Full name of your emergency contact
2) Cell Phone# of your emergency contact
3) Email address of your emergency contact
4) Relation to you

Example of how to list:

1) Jane Smith
2) 561-555-5555
3) Jane.Smith@aol.com
4) Mother

1) John Parks
2) 561-333-3333
3) John3749@gmail.com
4) Uncle
List the emergency contact information of two (2) individuals

Free time - Procedure

Some itineraries offer time for students to explore the city and surrounding areas with fellow travelers but not always with their Group Leader(s) or Tour Director. Your Tour Director knows the area well and can recommend local favorites and activities. This is a great time to incorporate visits or discussions that relate directly to your curriculum. Your Group Leader might arrange an academic or educational visit, or you can check out a museum, sit at a cafe to people-watch, souvenir shop, take photos, listen to local music—the choices are endless. Travelers should check in with their Group Leader with any specific questions about free time during their program.

Due to traveling with a large number of students, it is not always possible for students to be in direct sight and supervision of their Group Leader(s) or Tour Director, in fact, there will be times when students are given the opportunity to explore the city and surrounding areas on their own after the Tour Director has given directions, provisions, and important corresponding information. Students are required to always travel in groups of four or more while engaging in "free time."

There will be Informational Sessions that the Group Leader will host either "in-person" and/or via Teams, where students and all program participants will have the opportunity to meet and get to know one another prior to program departure.
I have read and understand the Free time - Procedure*

I affirm, I have read and understand the Free time - Procedure
Initials*

Personal Communications Responsibility - Procedure

Traveling abroad is exciting and fun. In today's world there is a need to stay connected. All participants or "units" (you and/or the person you are traveling with), are responsible for securing a mobile international data plan. It should not be assumed that Wi-Fi will be readily and/or easily accessible. Check with your cellular phone provider to see what option is best for you. Having an international data plan can keep you and your loved ones at home connected. *You may want to explore and research the option of purchasing an international SIM card (which can be more cost effective), however, it is recommended that you secure an international data plan from one of the major cellular carriers.

It is highly recommended that your mobile international data plan include talk, text, and a generous data allowance. The Group Leader will create a channel (chat area) on a group messaging platform that all program participants will be required to join prior to departure. This chat will be used to communicate announcements, meeting times/locations, and any pertinent information while traveling. It will be a way for students and attendees to always have access to their Group Leader(s).

While there will always be centralized information given from the Tour Director and/or Group Leader prior to program excursions and activities, if you neglect to obtain a viable method of constant and active "connectivity" while traveling, you take full responsibility and all associated outcomes therewith, of any missed: announcements, meeting times/locations, changes, and any pertinent information while traveling.
I have read and understand the Personal Communications Responsibility - Procedure*

I affirm, I have read and understand the Personal Communications Responsibility
Initials*
Cell Phone Number*
Please enter your mobile #

How do you plan to finance your Study Abroad experience?*

Paying the full amount upfrontDividing the total trip cost by the number of months remaining and making monthly paymentsExploring Financial Aid (Not available for Faculty, Staff or Alumni)
Please contact:

Wernick Vincent, Financial Aid Manager @ vincentw@palmbeachstate.edu to schedule a meeting to discuss your funding options.

Phone: (561) 862-4319

Michael Basco, Financial Aid Advisor @ bascom@palmbeachstate.edu

Phone: (561) 207-5817

Note: You are not required to contact them before submitting the application. You may reach out to them afterward if needed. To proceed, simply click the Next button.

Important Notice Regarding Third-Party Vendors and Program Responsibility

Before submitting this application, please carefully review the following information:

Palm Beach State College (PBSC) does not own, operate, or control the third-party travel, lodging, or educational service providers associated with this Study Abroad Program. All program-related services—including but not limited to transportation, accommodations, excursions, and on-site educational activities—are provided by independent third-party vendors.

PBSC’s role is limited to offering this study abroad opportunity as part of its educational programming. The College does not assume responsibility for the actions, decisions, performance, or omissions of any third-party vendors involved in the delivery of this program.

By submitting this application, you acknowledge and understand that:
- The Study Abroad Program you are applying for is operated and delivered by independent third-party providers.
- PBSC is not responsible for any vendor-related issues, including changes in itinerary, cancellations, service failures, or other incidents that may arise.
- Details about the specific program itinerary, vendor(s), and services are included in this application and college communication
- You will also be required to complete and sign a formal Participant Travel Contract
By checking the box below and submitting this application, you are confirming that you have read, understood, and acknowledged this information.
I acknowledge and agree to the above notice regarding third-party vendors and PBSC’s limited role in this Study Abroad Program.*

I acknowledge and agree
Signature*

Clear

So, now what?
Participant Travel Contract - Acknowledgement
- If your application is approved, our Study Abroad Department will send the link to e-sign the PBSC Participant Travel Contract via JotForms.
- If your application is not approved, you will receive an email notification informing you of the decision.
Please note that approval is at the sole discretion of the Group Leads and/or the Office of International Education.

The PBSC Participant Travel Contract must be filled out and e-signed by all individuals attending this trip, including students, faculty, staff, and any other approved participants (if applicable).
Initials*
Should be Empty:

Study Abroad Application

Rooming Logistics

Passports & Visas

Palm Beach State College - Student Code of Conduct (SCC)

Emergency Contact Information and Medical Treatment Form

So, now what?