International Travel Registration for Students

Please fill out the form below and visit the Semester Study Abroad page for more details on this process. If you are traveling to Puerto Rico, enter 0 in the required fields that do not apply to you.

Fields marked with an must be filled out to submit the form.

Contact Information

First Name

Last Name

Valencia Email

Alternate Email

Primary Phone

Alternate Phone

International Mobile Phone

Emergency Contact Information

First Emergency Contact Full Name

First Emergency Contact Relationship

First Emergency Contact Email

First Emergency Contact Phone

Second Emergency Contact Full Name

Second Emergency Contact Relationship

Second Emergency Contact Email

Second Emergency Contact Phone

College Information

VID

Campus

Program of Study

Provider

Travel Information

Passport Expiration Date

Note: Your passport must be valid up to 6 months after your return date to the U.S.

Passport Requirement

I understand that I must submit a copy of my passport to the SAGE Office at least two weeks prior to departure.

Reason for travel

Destination Information

Please list every country and city that you will visit and include where you will be staying at each location.

Program Destination 1

Destination Program

Destination City

Destination Country

Closest U.S. Embassy/Consulate Phone

Closest U.S. Embassy/Consulate Address

Accommodations Name

Accommodations Address

Accommodations City

Accommodations Postal Code

Accommodations Phone

Program Destination 2

Destination City

Destination Country

Closest U.S. Embassy/Consulate Phone

Closest U.S. Embassy/Consulate Address

Accommodations Name

Accommodations Address

Accommodations City

Accommodations Postal Code

Accommodations Phone

Flight Information

Departure Date

Departure Airline

Departure Flight Number

Return Date

Return Airline

Return Flight Number

Medical / Trip Insurance

Will you have medical/trip insurance through your program provider? If not, the SAGE Office can help you obtain a quote from our insurance provider, CISI. Valencia College requires medical/trip insurance for all individuals traveling on study abroad programs or international internship programs.

Yes

Safety

Do any of the countries you intend to visit have current travel advisories with the U.S. Department of State?

Yes

What will be the best way to reach you while overseas?