Personal information


I understand the visa requirements and costs associated with this program.

Medical Self-Evaluation

Standards of medical care vary widely across the globe. In order to have a safe experience abroad, it is important that we are aware of any health concerns you may have so as to best advise you on appropriate resources available prior to your departure. Living overseas can create emotional and physical distress for any participant. In some cases, mild disorders can become very serious conditions while living in a new environment.

Please complete the form below regarding your current health status. This information is not used for purposes of approval for GEI programs. It will be kept strictly confidential and will only be used in matters related to your program and your healthcare while overseas.

Please inform us immediately should you incur any pre-trip injuries that will affect your participation in this program.


Emergency contacts


I, the undersigned, understand that travel to GEI's program destinations involves a number of risks, including the risk of violence, trauma, serious injury, illness, permanent disability or death. I understand that participation in this program exposes me to all of these risks, and I am choosing to participate voluntarily.

I acknowledge by signing this document that I have carefully read this Waiver and understand the risks in participation including pecuniary loss, serious injury and, in extreme cases, permanent trauma or death. These risks include, but are not limited to:

  • Motor vehicle accidents,
  • Aircraft accidents,
  • Natural disasters such as but not limited to hurricanes, tornados, floods, seismic activities,
  • Health emergencies/illness/lack of access to medical services,
  • Injuries or death due to the limits of my physical strength, coordination, sense of balance or ability to follow instructions and directions given by the program leaders,
  • Political, environmental or social instability at the program destination(s),
  • Crimes/violence against my person or property, or
  • Pecuniary or monetary loss associated with program cancellation or delay in travel.

I understand that GEI cannot ensure or guarantee my health or safety. I hereby assume all risks associated in any way with my voluntary participation in the GEI program. I understand there are significant elements of risk in any travel. I also understand that GEI reserves the right, in extraordinary circumstances, to cancel, delay or reschedule the program at its discretion, for any reason it deems necessary. I understand it is my sole responsibility to obtain the insurance necessary to cover any monetary losses or other issues arising from trip delay, cancellation or rescheduling for reasons of extraordinary circumstance.

I, the undersigned, hereby release, waive, discharge and covenant not to sue GEI, its respective officers, directors, managers, partners, employees, agents, designees, contractors, subcontractors, representatives, successors and assigns, and all persons conducting, directly or indirectly, my involvements as a program participant, or any program participants, (hereinafter collectively referred to as ‘Releasees’) from any and all liability, rights, claims, demands, actions, causes of action, expenses and damages whatsoever arising out of or related to any loss, damage or injury that may be sustained by me or my heirs, personal representatives, guardians, successors or assigns.

This release of liability covers any and all potential sources of liability whether arising from any injury, act or omission relating to my program participation, or caused by any act or omission of the Releasees, or other circumstances arising from traveling for or participating in the activities on the program, or while in, on or upon any premises where the activities take place.

I voluntarily assume full responsibility for any risks of loss, sustained by me, or any loss or damage to my property as a result of being engaged in such activities, whether caused by the negligence of Releasees or otherwise. I hereby release and forever discharge Releasees from any claims whatsoever which arise or may hereafter arise on account of any first aid, treatment or service rendered in connection with participation in the GEI program.

If a provision or any part of this Waiver is or becomes illegal, invalid or unenforceable in any jurisdiction, that shall not affect the validity or enforceability in that jurisdiction of any other provision of this Waiver; or the validity or enforceability in other jurisdictions of that or any other provision of this Waiver.


Arrival & departure

Accommodation arrangements

Optional pre-program extension

Optional pre-program extension

Your coordinator will be in contact to send you a separate link for payment for this extension

Publicity release agreement

By accepting this Publicity Release Agreement, I confirm that I understand and agree to the following representations and terms.

I irrevocably grant to Global Engagement Institute (GEI) and its partners the right to use my name, image, biographical information, and personal testimonial statements (Personal Information) with regard to my interview, photograph, and/or video taken with or by GEI. I agree that my Personal Information can be used by GEI in all forms and media for the purposes of advertisement and promotion. GEI may publish this information on its internet site, in its publications, and in all other forms and media for the purposes of advertising and promoting its work.

I release GEI, and its assigns, licensees and successors, from any claims that may arise regarding the use of my name and image, including any claims of defamation, invasion of privacy, or infringement of moral rights, rights of publicity, or copyright. I waive all rights to inspect or approve versions of my image and related Personal Information before its publication. I acknowledge that I am not entitled to any compensation for creation or use of the finished product.


Program fee

The following program fee is the basic fee minus the initial application fee that you paid as a deposit (US $510). If you opted for single accommodation, please add US $221 to the total below



assignment_turned_in Registrations


Personal information

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Additional information

Data protection

GDPR: Policy on the protection and processing of personal data of program participants

This Policy regards all personal data of yours that we have obtained - whether from you directly or indirectly from any entity - for the planning and organization of your GEI program and related GEI services.

These data will be processed and handled by us in accordance with our policies, with the European Union's General Data Protection Regulation ("GDPR"), and with the principles of fairness, lawfulness, transparency, purpose limitation, accuracy, storage limitation, integrity and confidentiality, and accountability, as well as the utmost protection of your privacy.

Sensitive data processing will only take place in relation to data regarding your health condition (such as diseases, allergies or food intolerances) or judicial data of relevance to your participation in the GEI program.

All data shall be processed exclusively for GEI institutional purposes, connected or related to the activities carried out by GEI, such as the planning and organization of your GEI program, the accomplishment of bureaucratic practices for your entry in your program destination, and the performance of the contractual obligations of GEI in connection with your program stay.

In particular, the data supplied or collected may be processed for the following purposes:

  • To fulfill the obligations established by any applicable law;
  • To execute the contractual obligations with reference to your enrolment with the GEI program (such as, but not limited to, program content and logistics bookings, program attendance certification, or participant health and safety protection); and
  • To take the necessary actions in the case of an accident or aggression.

Sensitive data regarding your health conditions and food habits will only be processed for the purpose of protecting your safety or of fulfilling the obligations established by any applicable law.

Sensitive data regarding judicial measures which may have been provided to GEI by public bodies will be processed only for purposes relating to a health or safety emergency and complying with any applicable mandatory provision of any applicable law.

Submittal and processing of personal data is necessary in order to achieve the purposes above specified.

Any refusal will make it impossible to carry out the necessary activities and the correct administrative and didactic management of your program necessary to accomplish the contractual obligations of GEI in connection with your program stay, as well as the obligations imposed by law.

Data - including sensitive data - will be collected and processed automatically and/or manually, and by adopting the respective minimum safety measures.

The data will be handled only by the persons who are in charge of and responsible for the related program activities and services.

Your data may be communicated, in compliance with the rules above indicated, to public or private subjects to whom they may be necessary in order to carry out the planning and organization of your GEI program, and to fulfill obligations set forth by applicable laws.

Sensitive data may be communicated to public bodies and authorities (such as public hospitals, public safety authorities, police offices, courts, magistrates and the like) and to private subjects (such as private hospitals and clinics, security supervisors, insurance companies and the like) only for purposes relating to health and safety emergency and for the purposes of fulfilling obligations set forth by applicable laws.

You will be able to exercise any and all rights foreseen, among others, by the GDPR, electronically available at

This includes, among others, the following rights:

  • You have the right to obtain confirmation of the existence or not of personal data, even if not yet recorded, and their communication in intelligible form.
  • You have the right to obtain indication a) of the origin of the personal data, b) of the ends and methods of their processing, c) of the logics applied in the event of processing being carried out with the aid of electronic equipment, d) of the identification data of your data manager at GEI, and e) of the organizations and categories of organizations to whom personal data can be communicated or who are likely to get to know them at the program destination(s).
  • You have the right to obtain a) the update, the rectification or, if you have the interest to, the integration of the data, b) the cancellation, transformation in anonymous form or blockage of any data processed unlawfully, including those whose storage is not necessary in relation to the aims for which the data were collected or later processed, and c) a statement that the operations indicated in a) and b), including their content, have been made known to those to whom the data have been communicated or released, except in the case of this being found to be impossible or requiring the use of means which are clearly disproportionate to the protected right.
  • You have the right to completely or partially oppose a) for legitimate reasons, the processing of personal data even if relevant to the aims of their collection, and b) the processing of personal data for the purpose of sending publicity material, direct sales or for carrying out market research or commercial communications.

The Data Controller for your data is GEI. In order to exercise the rights mentioned in 7. above, you can contact us at 251 State Street, #204 (c/o Mlekoday), Schenectady, NY 12305, USA, or by sending an email to

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