腦瞳憫

Application for 腦瞳憫 in England

Along with this application, please provide:

  1. Most recent transcript (Students can download an unofficial transcript in PDF format from . Go to 'Student Information', then click the 'Documents' tab. Find the most recent document titled "Unofficial 腦瞳憫 Transcript" and click 'Download'. You can upload the transcript to this application in the 'Documentation' section below.
  2. Copy of the photo page of your passport

* Required field

Student Personal Information

(First year, Second year, Third year, etc.)

Student Contact Information


Include street address, apt/unit if applicable, city, state/province, country and zip code.

Applicant���s emergency contact
Parent, guardian, or other person able to make legal and medical decisions on the student���s behalf.


Application Questions


Note: No prior experience is required.

Note: No prior experience is required.




For example, being CPR certified.

The housing facility we will occupy may not have private rooms or private bathrooms, so we would like all participants to be aware of the potential living conditions for the trip.

If so, we will make every effort to make those accommodations, however it is important to note that some accommodations may be more challenging while traveling.

If so, we will make every effort to support you while traveling.


Documentation

Please provide your most recent transcript (see instructions above), and a copy of the photo page of your passport. All provided documentation will be handled securely and access limited as per the 腦瞳憫 Data Privacy Policy.

Maximum file size is 10mb; .pdf, .doc, .docx, .png, or .jpg only. Please check the format and size of your document before uploading.

Assumption of Risk, Release from Liability, and Indemnification Agreement

Please read the 腦瞳憫-Sponsored Study Abroad Programs Assumption of Risk, Release from Liability, and Indemnification Agreement and indicate below that you agree to the terms.

By submitting this form, I confirm that the above information is true and correct.