UMW Group Travel Emergency Contact Information

Program Name and Term*
Primary Destination City(s)*
Program Start Date (mm/dd/yyyy)*
MM slash DD slash YYYY
Program End Date (mm/dd/yyyy)*
MM slash DD slash YYYY
Primary Faculty Director*
Director Overseas Contact Number (Cell)
Include country code for international phones.
Director Email
Second Faculty Director (if applicable)
Second Director Overseas Contact Number (Cell)
Include country code for international phones.
Second Director Email
Host Country Point(s) of Contact
Please provide name and contact information (including telephone country code) for any host university program directors, tour guides, third party providers, or others who can serve as alternate points of contact for your group while you are abroad.
Embassy Contact Information*
Please provide contact information for the embassy in each of your destination countries, including address and telephone number. A list of US embassies can be found at http://www.usembassy.gov/.
Student Flight Information*
Are students traveling on a group flight?
- Yes, students are traveling as a group.
- No, students are booking their own flights.
Flight Information*
Please enter group flight information. If traveling individually, enter faculty name and travel information.
Program Itinerary*
Please upload a detailed itinerary for the program, including lodging location and contact information for each destination. For travel/touring days, include destination and form of transport. If you have trouble getting your document to upload, please try using PDF format.
Accepted file types: pdf, docx, jpg, doc, xls, xlsx, Max. file size: 5 MB.
Additional File Upload
If you have additional documents you would like to submit, you may do so here. (Optional)
Max. file size: 5 MB.

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