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Oxford Program Application
Your First & Last Name*:

Email Address*:

Mailing Address*:




Cell Phone*:


Are you a U.S. citizen?*:

Are you interested in taking this course for credit*:
Not for Credit

Are you currently taking classes at Regent University*:

If you are not a Regent student how did you hear about this trip:

Passport Number*:

Passport expiration date (must be valid for at least six (6) months beyond the dates of your trip.)*:

If you are not a current Regent University Student
You can skip the next 5 questions:

Regent University Students please answer the following questions

Which Regent University school(s) are you enrolled in (please list any joint degree schools):

School of Business & Leadership
School of Communication & the Arts
School of Divinity
School of Education
School of Government
School of Law
School of Psychology & Counseling
College of Arts & Sciences

What is your Degree:

What is your Major:

Have you talked to your advisor to confirm that this course will be used towards your degree:

Who is your course advisor for your current Regent Program:

Student I.D. #:

As a study abroad participant, I agree to conform to the Code of Conduct (pp. 29-33) contained in the Regent Student Handbook that applies to all Learning Abroad Programs*:

Forward copy of valid passport, and your completed and signed International Liability Waiver to L.Diane Hess-Hernandez no later than April 1, 2015.

Regent University Robertson School of Government Attn: L.Diane Hess-Hernandez 1000 Regent University Virginia Beach, VA 23464 Fax: (757) 352-4302 Email:

*I understand that only Regent students confirmed to be in good standing by Student Services and the Business office will be permitted to attend this course.

Proof of Valid Passport & Travel Visa
*I understand that a VALID PASSPORT IS REQUIRED FOR THIS TRIP and that it must be valid for at least 6 months beyond initial entry into the United Kingdom. I am forwarding a copy of my passport to L.Diane Hess-Hernandez. It is also recommended that you carry a copy of your passport with you on the trip.

*I understand that I must register travel plans with U.S. State Department

All U.S. American participants must register their time abroad with the U.S. State Department.

International Liability Waiver
*I have reviewed, completed and signed the Regent University International Liability Waiver. The same Code of Conduct contained in the Student Handbook applies to learning abroad programs and activities. I will forward a copy of the completed form to L.Diane Hess-Hernandez.

Minimum Number of Participants
*I understand that unless a minimum of applications with deposits are received, the trip is subject to cancellation and all applicable program fee's will be refunded.

Health Advisory & Special Accommodations
*I understand that this program can be rigorous, and some of the events may require demanding physical activities. Therefore, participants should possess the ability to:
  1. Walk one mile without resting
  2. Stand for 30 minutes without sitting
  3. Climb three flights of stairs without assistance
  4. Hear instructions in a group setting with environmental noise present
  5. Read and understand written instructions and signs
  6. Step in and out of buses or shuttles.
Regent University may be unable to provide special accommodations for people with disabilities. If someone needs accommodation or assistance, that person must bring a companion/assistant at full price. Also, those who have a health or mental condition that may interfere with participation in program activities, need to consult with their physician to determine if they are able to participate in a physically demanding study abroad program. If I have any questions regarding special accommodations for people with disabilities, I will contact Adam Williams at 757-353-4894 or at

Regent University does not assume liability for injury, damage, loss, accident, delay, or irregularity which may be occasioned by reason or defect, through the acts or defaults or any company or person engaged in conveying the participants of this tour or in carrying out the arrangements of the tour, or as direct or indirect results of acts of nature, breakdowns in machinery or equipment, acts of governments or other authorities, de jure or de facto, wars, whether declared or not; hostilities, civil disturbances, strikes, riots, theft, pilferage, epidemics, quarantines, medical or customs regulations, loss or damage resulting from improper passports, visas, or other documents or from any causes beyond the control of the University. The University can accept no responsibility for loss or additional expenses due to delay or changes in schedule or other causes. We have the right to refuse to accept or retain any tour participant should such person's health or general deportment impede the operation of the tour to the detriment of other participants. All rates are based on tariffs in effect at the time the tour was planned and are subject to change in the event of adjustments therein. Baggage is carried at the owner's risk and baggage insurance is recommended. The issuance of tickets and vouchers will be deemed to be consent to the above conditions.

The participant's signature below (type your name) and participation in this trip constitute acceptance of this provision and agreement by such participant that Regent University shall not be liable or responsible in any way whatsoever for any inconvenience, loss, damage, or injury arising out of or in connection with such tour services. By typing my name below, I acknowledge that I have read and fully understand the conditions and responsibility area of the enrollment application and verify the information I have provided as truthful and correct.

How do you plan on financing this study abroad experience?
(Please check all that apply.)
Personal Funds


Type Name*: