Study Abroad Provider Emergency Contact Information Form

Please provide the following information so that the Center for International Education can contact you in the event of an emergency.
  • Please provide the name of your program or university.
  • Please provide the country or countries where your program is located.
  • Please provide the city or cities where your program is located.
  • This should be a person at your host university or program (such as the Director of your program, a study abroad coordinator, an international Exchange Officer, etc…) that UMW could contact abroad in the event of an emergency.
  • Please list phone number as dialed from the US, including country code.
  • Please list fax number as dialed from the US, including country code.
  • Please list phone as dialed from the U.S., including country code.
  • Please list phone number as dialed from the US, including country code.
  • If your program has a U.S. based office, please provide the name of the office here.