• Health and Special Needs

  • We request this information in order to best prepare your program for you and discuss any concerns you may have regarding living abroad and being successful on your program. While not required that you respond, it is strongly recommended. Your answers do not impact your application status, but your answers will allow us to check into accommodation possibilities, as accommodations available in other countries can be different than what you may be used to in the USA. For more information, please see our policies on The Learning Abroad Co. website.

  • Please check one of the boxes below and complete the form appropriately.
  • Do you have any dietary restrictions?*
  • Do you have any disabilities and/or do you receive any accommodations at your home institution?*
  • Are you currently taking any medications?*
  • Do you have any on-going health conditions that you feel The Learning Abroad Co. should be aware of?*
  • In the past two years, have you been treated or met with a counselor for any mental health conditions?*
  • Do you consider yourself to be in overall good health?*
  • Would you like an The Learning Abroad Co. staff member to speak with you on the phone to discuss the above health concerns or any other concerns in order to learn about resources that may be avail-able on-site to assist you in having a successful program?*
  • If you checked ‘yes’ to the question above, The Learning Abroad Co. will schedule a phone call with you at your convenience.

  • Date*
     / /
    2 digit month, 2 digit day, 4 digit year
  • Should be Empty: