Study Abroad Application

All fields are required unless otherwise noted.

Program Location	Costa Rica Brazil Other
Quarter	Fall Winter Spring Summer
Name
UW Student#
Class Standing(Year)	Freshman Sophomore Junior Senior Graduate Non-Matriculated Other
E-mail
Major(s)
Foreign Language Proficiency (indicate which language(s) and number of quarters of study)
Gender	Male Female
Birth date
Local Phone
Local Address
Permanent Address
Name/Address/Phone of local contact person while abroad
Please list the name and email of one reference who knows your academic work	Name Email
Please list the name and email of one personal reference	Name Email
Submit your unofficial transcript
How to get an unofficial transcript
Submit your essay
Passport #	(Not Required)
	I have read, understood and agree to the terms of the Code of Conduct and the Terms of Participation as stated below.
Your essay should be a maximum of one page. Please describe your interest in studying abroad in Costa Rica, and what you expect to contribute to and get out of this experience.

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Code of Conduct for CHID International Programs

The Comparative History of Ideas program expects our international programs to be uniquely educational and positively transformative experiences for all participants. Participants have responsibilities to each other, as a community of learning, and to their hosts, as representatives of the University of Washington, to engage in appropriate conduct. As such, the Comparative History of Ideas program maintains this code of conduct:

• All participants are expected to be engaged in all academic aspects of the program, including (but not limited to) punctual attendance to classes, completion of assignments, and participation in class discussions.

• All participants are expected to take part in required group activities, including (but not limited to) group meetings, projects, field trips and service learning engagements.

• Conduct which is threatening to the well being of another student, or that is demeaning, is prohibited.

• All participants are expected to respect the property and privacy of fellow participants.

• Participants are expected to abide by the University of Washington’s policy prohibiting sexual harassment.

• Conduct which negatively impacts another participant’s engagement or participation in the program is prohibited.

• All participants are expected to obey the laws of the host country, and the rules of host institutions (dormitories, classrooms, workplaces etc.).

• Conduct which threatens the viability of future Comparative History of Ideas programs in the host country is prohibited.

• Participants are expected to comply with the University of Washington Student Conduct Code (available online at http://www.washington.edu/students/handbook/conduct.html).

Participants who fail to observe this code of conduct may be dismissed from the program.

Terms of Participation

If you are accepted to this program, you will be notified by email, and given a one week to decline participation. If you do not decline, you will be subject to the following financial terms: A $300 non-refundable deposit fee (counted toward the total program fee) will be assessed to your student account. Two months prior to the start of the program, a second payment of $500 will be assessed. The remainder of the program fee will be assessed in the first week of the program. Students withdrawing from the program 60 days prior to the start of the program will be refunded the remainder of the program payments. Students withdrawing from the program during the final 60 days before the start of the program are responsible for their portion of any unrecoverable payments. There is no possible refund after the start of the program. Notice of withdrawal must be made in writing to both CHID and the Office of International Programs and Exchanges.