- I have received the approval(s) required by the WPI International Travel Risk Policy to participate in this WPI-Sponsored International Travel to the High-Risk Destination named above.
- For students, or faculty and staff members traveling with students: I have received an exception from the Global Travel Review and Response Team (GTRRT) and the Provost (or designee) and I will comply with the restrictions the GTRRT and the Provost (or designee) have placed on my travel.
- For faculty or staff members: I have received approval from my Department Head/Division Head and the decision has been submitted to the Global School (globaltravel@wpi.edu) for record-keeping purposes.
- I have read the WPI International Travel Registration Policy and I have registered my WPI-Sponsored International Travel on the WPI MyTrips Travel Registry. I will update my travel plans on the WPI My Trips Travel Registry should they change at any time.
- For students: I have read and signed the Participant Statement of Agreement (PSA) from the Global Experience Office.
- For faculty or staff: I will not take (or enable) any students to travel to or through any High-Risk Destinations under WPI’s International Travel Risk Policy unless such students have received an exception from the GTRRT and the Provost.
- I have carefully identified, reviewed, and considered the risks of travel to the High-Risk Destination named above, including the following as they relate to my destination:
- I am not required and may not be coerced to travel to any location, including the High-Risk Destination named above. I also understand that there are heightened security, medical, and/or natural disaster risks in travel to destinations where the U.S. State Department and the CDC have issued travel advisories. Nevertheless, I have decided to engage in this WPI-Sponsored International Travel to the High-Risk Destination named above.
- Conditions in the High-Risk Destination named above may change rapidly. I will stay informed of current events on a frequent basis by reviewing updated security and health information from the nearest U.S. Embassy or Consulate General and from the U.S. State Department, CDC, and International SOS websites. I will also enroll in the U.S. State Department’s Smart Traveler Enrollment Program (STEP). If I am not a U.S. citizen, I will register with my home country’s Embassy or Consulate and get updated information from the U.S. and my home country’s Embassy or Consulate.
- I have reviewed the services provided by WPI’s international medical and security assistance provider, International SOS (ISOS), and downloaded a copy of WPI’s membership card from the ISOS Members Portal or obtained a card from the Associate Director of Global Risk Management (globaltravel@wpi.edu). I will contact the Associate Director of Global Risk Management should I require additional information. If I need security or medical assistance or information abroad, I will contact International SOS.
- Medical/health care resources and facilities may be limited or non-existent at my destination(s). I acknowledge that I have appropriate medical insurance and that I am responsible for any expenses not covered by WPI’s International Travel Medical Insurance. I understand that I may be asked to pay for medical/health care first and then submit a claim to WPI’s International Travel Medical Insurance for reimbursement. I authorize WPI to act on my behalf in any medical emergency, if applicable.
- WPI encourages me to consider supplemental insurance options to cover trip interruption and cancellation costs. Such trip insurance is not required or arranged by WPI and must be purchased on an individual basis.
- My destination(s), Massachusetts, the United States, and any states or countries I may travel through at any point during my WPI-Sponsored International Travel may enact restrictions, including entry bans, lockdowns, and/or quarantines, at any time, and these restrictions have the potential to disrupt my WPI-Sponsored International Travel. I agree that I am responsible for any costs associated with such restrictions, including entry bans, lockdowns, and/or quarantines, during my WPI-Sponsored International Travel or upon my return to Massachusetts.
- WPI reserves the right to modify or cancel my WPI-Sponsored International Travel at any time due to sudden changes of health and/or safety risks. I will comply with any directives from WPI to modify or cancel my WPI-Sponsored International Travel. I understand that if I fail to follow WPI’s orders, I do so at my own risk; I may forfeit WPI’s international medical and security assistance and International Travel Medical Insurance, academic credit, tuition payments or expense reimbursement; and I may be held responsible for additional expenses incurred by WPI due to my refusal. If I am a student, I understand that I may be subject to disciplinary action.
I VOLUNTARILY ASSUME FULL RESPONSIBILITY FOR ANY RISKS OF ILLNESS OR INJURY that may be sustained by me while participating in WPI-Sponsored International Travel to the High-Risk Destination named above. I hereby RELEASE WAIVE, DISCHARGE, AND COVENANT NOT TO SUE WPI, its affiliates, subsidiaries, trustees, officers, students, employees and agents, and their respective successors, heirs, and assigns the “Related Parties”) from any and all liability, claims, demands, actions, and causes of action whatsoever arising out or related to any illness or injury, that may be sustained by me due my participation in WPI-Sponsored International Travel, whether caused by the negligent act or omission of WPI, or otherwise, while participating in WPI-Sponsored International Travel. It is my express intent that this Agreement shall bind the members of my family, my heirs, assigns and personal representatives, and shall be deemed as a RELEASE, WAIVER, DISCHARGE, and COVENANT NOT TO SUE WPI and the Related Parties.