Confirmation Form printable pdf download

Congratulations on your admission to New York University Study Abroad! We will reserve a space for you in the

program once we receive this completed confirmation form along with your non-refundable $500 deposit.

The deposit must be paid by check or money order made out to “New York University” and delivered to the Office of

Global Programs by mail or in person. This amount will be applied to your tuition bill once you have registered for

classes. Unfortunately, we cannot accept cash or credit card payments. All tuition deposits are non-refundable.

Please note that space in the program is limited. If the program reaches capacity before we receive your deposit, you

will be placed on a waitlist.

First Name: ___________________________

Last Name: __________________________

University ID: N______________________

(or Social Security Number)

YES!

I intend to participate in an NYU Study Abroad program and I acknowledge that my acceptance is

contingent upon the following:



I confirm my acceptance to NYU in __________________ for the ___________________.

(Site/City)

(Semester, Year)



I have enclosed (or have submitted) my non-refundable $500 deposit.



I am responsible for meeting with an academic advisor to review my study abroad course selections prior to

registration for my semester abroad.



I agree that I am not currently on disciplinary probation or leave of absence with my current school and I

understand that if my discipline or enrollment status changes (including pending judicial action) before my

semester away I may be ineligible to participate.



I understand that I am responsible for obtaining my student visa and that, while NYU will support me in that

process by providing instructions and sample materials, I must adhere to the Consulate’s requirements and

deadlines.



I understand that I am responsible for completing the following forms prior to my departure: Foreign Travel

Release form, Medical History and Release form, General Information Form, Arrival Form, Housing

Information Form, and Insurance Form.



I understand that as an NYU Study Abroad participant I will be acting as an ambassador for NYU and

should conduct myself accordingly.

_______________________________________

Signature

Name

________________________________________

_______________________________________

Date

NO,

I do not wish to participate in NYU Study Abroad. Please explain:

________________________________________

_______________________________________

Signature

Name

________________________________________

_______________________________________

Date

Confirmation Form

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