Enrollment Form

Basic Information

Name *

First

Middle

Last

Enter your full name as it appears (or will appear) on your passport. Include your full middle name (if any), not just your middle initial. Solstice relies on this when making a variety of bookings on your behalf.

Date of Birth *

Gender *

Female
Male
Other

Preferred Pronouns

Email Address *

Please use your school/university email address.

Phone Number *

In the unlikely event of a late programmatic change or unforeseen circumstance, there's a chance Solstice will need to call you. We will never utilize your phone number for any other purpose.

Program Information

Program Name *

Traveler Type *

In other words, are you a student or faculty leader at the Center for Leadership in Global Sustainability (link opens in new tab)? If you're not a student or faculty at CLiGS or have never heard of this, select "Not OMNR, XMNR nor CLiGS".

As an OMNR/XMNR master's student or OMNR/XMNR faculty leader, you are responsible for booking your own international flights to/from your Global Study start/end location.

International Flight Option *

By opting out of the group flight, you are responsible for booking your own international flights to/from your program start/end location.

By opting into the group flight, Solstice will purchase your international flights on your behalf and add your flight details to your program Pre-Departure To-Do List. No further action is required.

Passport Information

I have my passport (or passport scan) in hand and have confirmed that it expires at least six months after my program ends.

Yes
No

If you do not have your valid passport or passport scan handy, please complete Solstice's Passport Form (link opens in new tab) as soon as possible. For various travel logistics and program planning purposes, it is important that your program organizers receive a scanned copy or clear photograph of your passport’s main information page.

Citizenship *

Passport Number *

Passport Expiration *

Passport Scan *

Click or drag a file to this area to upload.

Emergency Contact Information

Name *

First

Last

Relationship *

Email Address *

Country of Residence *

Cell Phone Number *

Work Phone Number

Dietary & Medical Information

To ensure the health and safety of every Solstice traveler, it is important that we collect the following information, which we will have access to throughout your travels with us. Please note that sharing this information is optional and, if provided, will remain confidential and only accessible by program leaders and personnel directly associated with your upcoming program.

I wish to share dietary restrictions and/or medical information with my program administrators. *

Yes
No

Section 1: Dietary Information

Food Allergies

If none, leave blank

Additional Dietary Comments

Please use the above space to provide any additional information about your dietary needs and preferences that you think might be helpful to your program organizers.

Section 2: Medical Information

Current Prescription Medications

If none, leave blank

Drug Allergies

If none, leave blank

Medical Conditions (including Mental Health)

If none, leave blank

Name of Primary Care Physician

If none, leave blank

Phone Number of Primary Care Physician

If none, leave blank

Email of Primary Care Physician

If none, leave blank

Additional Medical Comments

If none, leave blank

Section 3: Pre-existing Medical Conditions

Please answer Yes/No to the following. In the past 3 years, have you experienced:

Joint Injuries

Yes
No

Circulatory problems

Yes
No

High blood pressure or heart disease

Yes
No

Anxiety disorder

Yes
No

Clinical depression

Yes
No

Muscular injuries

Yes
No

Seizures

Yes
No

Asthma

Yes
No

Broken bones

Yes
No

Migraines

Yes
No

Additional Comments

Participant Signature

I declare that: *

I have read and I accept Solstice's Terms and Conditions (link opens in new tab).
My information as entered above is accurate and correct to the best of my knowledge.
I agree to abide by the laws of my program’s host country throughout the duration of my Solstice program.
I authorize Solstice to share the above self-reported medical and health information with my upcoming study abroad program's faculty leader, relevant administrators, and necessary destination-country personnel.

I declare that: *

I have read and I accept Solstice's Terms and Conditions (link opens in new tab).
My information as entered above is accurate and correct to the best of my knowledge.
I agree to abide by the laws of my program’s host country throughout the duration of my Solstice program.

Basic Information

Program Information

Passport Information

Emergency Contact Information

Dietary & Medical Information

Section 1: Dietary Information

Section 2: Medical Information

Section 3: Pre-existing Medical Conditions

Participant Signature

WHO WE ARE

WHAT WE DO

JOIN US