Rome
Second World War in Italy
Turkey
London
China
Once your application has been submitted you will be notified by e-mail confirming receipt of your application and given instructions on how to make your $300 deposit. You will not be registered into the program of your choice until your $300 deposit is received.
Applications will continue to be accepted after the program specific registration deadline. However, to ensure your spot, please apply today and make your $300 registration deposit. Early registration is recommended as enrollment is limited.
Refund of the deposit (less a $150 administration fee) will be made if a cancellation and refund form is completed and sent prior to February 19, 2010 for Intersession Programs. After that date, no refund may be possible. Costs are based on a minimum number of participants. In the event that this minimum is not achieved, the result may be the cancellation of this Intersession. At that time you will be informed and your deposit will be returned in full.
Participants have the choice of taking the courses for either credit or audit (a student wishing to attend classes in a given degree credit course out of interest without being assigned a grade). Participants are paying a program fee for the cost of the program and are not paying for tuition separately so there is no difference in pricing for those that choose to audit their courses.
** Required Fields
Student ID: ** Non-UNB students please enter "N/A"
Email Address: **
First Name: **
Last Name: **
Middle Name:
Phone Number: **
Street Address: **
City: **
Province, Territory or State: **
Postal or Zip Code: **
Program:
Years or Credit Hours Completed:
University:
Month of Birth: ** Month of Birth: January February March April May June July August September October November December
Day of Birth: ** Day of Birth: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Year of Birth: ** Year of Birth:
Citizenship: **
Sex: **
male
female
Do you have a passport?
yes
no
Do you have a Visa?
Are you applying for a student loan?
Yes
No
Name: **
Address: **
Province, Territory, or State:
Postal or Zip Code:
Email:
Day Phone: **
Evening Phone:
Do you give permission to release information about your program itinerary to your parents or guardians? **
If yes, please enter your initials:
UNB reserves the right to place students in rooms at our discretion. We will try our best to accommodate participant requests but it is not guaranteed that you will be able to room with a preferred person(s) due to registration numbers and accommodation availability.(please see accommodation policy for further information)
I wish to room with:
For your safety, it is important that you disclose all health conditions you may have. All information is confidential and will only be used in the event of an emergency. Please describe any medical conditions you have:
Do you have any health issues or disabilities for which you might require special arrangements or assistance during this program? **
If yes, please provide further details: (Please list any current or recent mental health conditions – such as anxiety, bipolar disorder, clinical depression, drug or alcohol dependency, etc.) for which you have sought treatment:
Please list any medications that you take:
Please indicate any dietary restrictions/food allergies:
Please tell us: i) how you learned of this Travel Study Program, ii) whether this is your first visit to the city/country of your program choice, and iii) why you wish to participate in the intersession.
To complete your registration you will be REQUIRED to submit the following documents:
This information is collected under the authority of the Freedom of Information and Protection of Privacy Act. The University of New Brunswick is committed to protecting the personal information of our participants. The information collected on this application form and any documents submitted to the program will be used solely by the College of Extended Learning and the program directors to administer the program and destroyed thereafter.
Do you agree to the collection and use of information?
Program Dates:
Session I: May 11 - May 31, 2010 Session II: June 1 - June 21, 2010 Both Sessions (6 weeks): May 11 - June 21, 2010
Application Deadline: February 2, 2010 Final Payment Deadline: February 26, 2010 Program Refund Deadline: February 19, 2010
Please indicate which session you wish to attend:
Session 1: $3900
Session 2: $3900
Both: $7800
Please choose ONE option and select credit or audit.
CLAS2643/HIST1133
CLAS3643/HIST3133*
ED5033/5034**
credit (6ch)
audit
*Note: CLAS 3643/HIST3133 may also be taken for education credit for students in the Concurrent B.Ed program. However, permission must be obtained from Alan Sears at the Faculty of Education. **Note: ED5033/5034**(Pre-requisite for ED5033/5034: ED3621)
Courses are divided into two groups: A and B. Please choose ONE course from EACH group and select either credit or audit.
HIST3005
HIST3725
credit (3ch)
SOCI3331
HIST3134
I understand that, as a student in the UNB Travel Study Program, I must:
I have read and understand the above agreement - Enter initials: **
