I, (Full Name), being the student of the University of Tasmania identified below, do hereby submit this document in support of a request for approval of international travel to enable my participation in the overseas study program of the College of Arts, Law and Education as listed below (“Program”): Student Name Student I.D. Name of Program Short term or Semester-based School/Section Program Location Program Dates Program Coordinator I hereby confirm that I have been issued with the “Pre-Travel Advice” from the College, outlining all medical, safety, insurance, registration and other requirements in order to participate in the Program. I agree that, as a participant in the Program, I have already completed or will duly complete in accordance with the Pre-Travel Advice, the following steps: (1) Attendance at compulsory pre-departure information session(s) to obtain information about the Program and to make academic, international travel and logistical preparations for my participation in the Program; (2) Provision to the College of Arts, Law and Education of my detailed emergency contact details and travel itinerary; (3) Advice to the University’s insurance office of any pre-existing medical conditions (if applicable); V3. Updated July 2017 COLLEGE OF ARTS, LAW AND EDUCATION IN-COUNTRY STUDY PROGRAMS