Netherlands Spring Program Application

Netherlands Program Application Form
Instructions:
To complete this preliminary application, you will need to:

1. Upload your unofficial transcripts

2. Upload an essay

3. Provide the names and email addresses of 2 people who will send letters of recommendation (at least one should be academic, ideally from a faculty member at your home campus, if you have questions about this please reach out to your study abroad campus coordinator).

Essay Requirements: Your essay should be double spaced. The length should be from 700 - 800 words and address all four questions listed below:
- What do you hope to accomplish while studying abroad?
- How does your study abroad program relate to your academic and future professional goals?
- What you think the biggest challenges will be for you to live in a new country and culture for 1-3 months?
- What obstacles, financial or otherwise, have you faced in your decision to study abroad?
If you need any support with this process, please contact your study abroad campus coordinator.

This is a preliminary application form. Submission of this form does not guarantee admission to a study abroad program, and additional steps will be required.

If you need access to a physical or pdf form, please contact your study abroad campus coordinator.

If you are under 18, please consult your study abroad campus coordinator before completing this form.

You may save your work and come back to it later if you cannot complete the application in one sitting. Select "save" and you will be sent an email link that will allow you to come back to work on the form.

Your study abroad campus coordinator will contact you shortly after the submission of this form.

You may be required to attend a study abroad meeting after submitting this form, especially if you have not had a study abroad appointment with our office before.

As part of the study abroad process, you will need to secure a travel document for the country or countries you visit. The documents required can vary based on your country of citizenship. If you have questions about travel documents, contact your study abroad campus coordinator.

NEXT STEPS AND HOW YOUR APPLICATION WILL BE EVALUATED: This is a preliminary application. You will hear from your campus coordinator regarding next steps for final approval for study abroad. We will use your essay, transcripts, academic records, letters of recommendation, and any disciplinary records to evaluate your aptitude to successfully participate in a study abroad experience. We may require an advising meeting or interview to further discuss your application.
Full Legal Name*

First NameLast Name
Student ID number (ctcLink ID)*
Date of Birth*

MonthDayYear
Email Address*
example@example.com
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Personal Essay upload. Essay Requirements: 700 - 800 words addressing all four questions listed below. What do you hope to accomplish while studying abroad? How does your study abroad program relate to your academic and future professional goals? What you think the biggest challenges will be for you to live in a new country and culture for 1-3 months? What obstacles, financial or otherwise, have you faced in your decision to study abroad?*

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Please upload a copy of your most recent unofficial transcript. If this is your first term at Green River College or you do not have grades reported yet, you may upload a high school transcript. *

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Name of person 1 who will be providing letter of recommendation:*

First NameLast Name
Email address for person 1 who will be providing letter of recommendation: *
example@example.com
Email address for person 2 who will be providing letter of recommendation:*
example@example.com
Name of person 2 who will be providing letter of recommendation:*

First NameLast Name

Student Agreement

I wish to participate in a study abroad program offered through Green River College (GRC). In exchange for the consideration of my application for admission to the study abroad program, I understand and agree to the following:
I am responsible for the completion of all academic requirements of my program, including, but not limited to, classroom work, assignments, projects, field trips, and various assessment and evaluation processes. (Initial below to agree)*

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I am responsible for timely payment of all program fees and understand that an academic “hold” may be placed on my college records unless and until I make all required payments that are due to my college. (Initial below to agree)*

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I am responsible for requesting any reasonable accommodations I may need related to a documented disability in a reasonable time frame prior to my departure from the USA. I understand that my requested accommodations may not be available at the overseas site, but that every reasonable effort will be made to provide alternative reasonable accommodations whenever possible. (Initial below to agree)*

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As a GRC Study Abroad student, my conduct inside and outside the classroom reflects upon the College. As a participant of study abroad, I understand that I am still considered an GRC College student, and must abide by the student code of conduct while abroad. I am also expected to abide by the laws and respect the customs of the host country. (Initial below to agree)*

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GRC requires all study abroad participants to abide by the COVID-19 regulations of the host destination country and/or local program providers. These regulations may include testing, vaccination, physical distancing, wearing a mask, quarantine/isolation, and other related safety measures, which are subject to change at any time. I agree that if selected to participate in a GRC Study Abroad program, I will abide by all such regulations and I will be required to sign a COVID-19 Behavioral Commitment outlining what is expected of me before traveling. (Initial below to agree)*

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TERMS OF THE STUDY ABROAD PROCESS
Carefully read the following.

By signing and submitting this form you (or the parent / legal guardian of the participant) are agreeing to the terms of acceptance.

Acceptance Terms

1. I understand that if I am accepted to the study abroad program, I will then be required to submit required documents to secure my enrollment, that could include but are not limited to:
- Medical Evaluation Form to determine health conditions that can affect travel
- Medical Release Form to allow medical assistance in an emergency situation if emergency contacts cannot be reached
- Disability Accommodation Form
- Release of Information to allow your basic information to be shared with the program provider and vendors to make arrangements for the program.
- Photo/Video and Media Releases to utilize your images in future marketing, or to opt out of your image use
- Re-Entry Agreements such as a re-entry orientation or advising appointment, without creating an undue burden to alumni schedules
- Passport Scan
- Travel Plans Form, such as airline and flight information to/from the program site.
Additional Personal Expenses

1. I understand that additional expenses NOT included in the program fee are my sole responsibility and are not part of the fees charged to my student account. GRC strongly advises that I inform myself fully of all cancellation and refund policies for any arrangements I make independently (i.e., flights, excursions, etc.) in connection with the Program before making any financial commitments related to these arrangements. GRC assumes no responsibility for any of these independent expenses that I incur in connection with my Program.

2. Paying with Financial Aid or ScholarshipsIf I am a Financial Aid or Scholarship recipient, I acknowledge that it is my responsibility to arrange for my Financial Aid/Scholarship funds to apply to the fees outlined above. I understand that because of deadlines associated with contractual obligations incurred by GRC related to the Program, it is possible that I may not know how much Financial Aid or Scholarship funding will be available to me for the term of the Program until after the payment deadlines, and I will be responsible for paying all program fees in part or in full beforereceiving my financial aid funding.

Late Payments

1. I understand that I am expected to pay all fees associated with my participation in the Program by the posted due date(s). Late payments may be subject to late fees, such as a one-time $100 fee. For tuition, students with account holds or outstanding payments may be prohibited from registering for classes in future terms and may be blocked from receiving college services, such as transcripts or diplomas. If I fail to pay all such fees in full, GRC may refer me to an outside collection agency with late fee assessment (interest) continuing monthly until paid in full.

Withdrawal Terms

1. Notice of withdrawal from the Program must be submitted in writing to the GRC program coordinator or campus coordinator by email, mail, or in person. The date of withdrawal is the regular business day during which my written withdrawal statement is received.

2. GRC DOES NOT guarantee that any portion of the fees owed will be removed or refunded if I withdraw from the Program for any reason. The later I withdraw from the Program, the higher my financial obligation to the Program is likely to be.

3. If GRC has paid or encumbered funds on my behalf at the time of my withdrawal from the Program, I am not entitled to a refund of those funds unless and until the third party to which GRC has paid or encumbered such funds reimburses GRC or releases GRC from the financial obligation.

4. If I withdraw from the Program for any reason, I understand and agree that GRC will not be responsible for any personal expenses or losses incurred as a result of Program cancellation (e.g., flights, excursions, etc.).

5. It may take a significant amount of time for GRC to identify all unrecoverable costs; a refund amount may not be determined for up to a quarter after the withdrawal.Medical and Compassionate Withdrawals

6. GRC will process medical and compassionate withdrawal requests only through established College procedures. The review and consideration of requests are at GRC's discretion. No refunds will be generated for any Program-related charges associated with a medical or compassionate withdrawal.

Withdrawing from Classes

1. After withdrawing from the Program, it is my responsibility to withdraw from all courses associated with the Program in order to avoid any tuition charges and/or to prevent failing grade(s) being issued, subject to the terms of the College course withdrawal policy.

2. I understand that any request for a tuition refund must be submitted directly to my home campus office in charge of tuition payments, in accordance with established policies.

Financial Aid and Scholarships

1. If I am a Financial Aid or Scholarship recipient, I acknowledge that it is my sole responsibility to contact my home campus office in charge of financial aid and scholarships immediately upon withdrawal from the Program, as withdrawal may affect my Financial Aid package.

2. If I am a Running Start student, I should be in contact with the Running Start office on my respective college campus to understand whether and how much my tuition in the study abroad program will be covered through the Running Start program. I understand that any study abroad program fees not covered by the Running Start program is my own financial responsibility.

Program Cancellation

1. Each program has a specific cancellation policy. I will read my program cancellation policy and clarify any questions prior to making a financial commitment.

2. If the Program is canceled prior to departure from the USA, GRC will notify me by email. GRC will make reasonable efforts to work with the program providers to refund recoverable costs, and will inform me if I am eligible to receive a full or partial refund. Depending on the date or circumstances of the cancellation, I may not be eligible for any refunds.

3. It may take a significant amount of time for GRC to identify all unrecoverable costs; a refund amount may not be determined for up to a quarter after the program cancellation.
Signature*

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Netherlands Program Application Form

Instructions:

Student Agreement

TERMS OF THE STUDY ABROAD PROCESS