The International Dance Exchange (TIDE) STUDENT ADMISSION Form

REFERENCES

Please list two (2) references that have known you for at least 12 months.  Under most jurisdictions, relatives or TIDE staff cannot be used as a reference.

We would like to get to know you a bit better to give you the best match with a host family thereby enhancing your dance exchange experience. This section will cover your languages, diet, allergies, activities as a family/household, & general family and/or household guidelines.

 LANGUAGE(s) 

 EDUCATION 

 PETS / ANIMALS 

 LIFESTYLE 

 RELIGION 

 

NOTE: You are not required to share your religious beliefs or affiliations to be accepted as an exchange dance student.  The host families are aware that this can be a private and/or uncomfortable topic to discuss for many people. However, for many people this is can be an important part of their identity.  You may share as much or as little as you feel comfortable with.

 DIET 

 PERSONAL 

 

NOTE:  We ask the members of the host family as well as the dancer(s) staying in their home the following questions.  Please answer honestly - it will not necessarily impact your acceptance, but may require following up by the TIDE representative for more information - you will be notified if this is the case.  We value the safety of everyone involved, as well as your privacy.  All questions will be protected by stringent privacy laws and only shared with the authorities or host family if absolutely necessary.  

 ANYTHING ELSE? 

 PHOTO 

The International Dance Exchange program would like to provide the best experience for all our dancers and the host families/households. Thus, it is important that we make sure to be aware of any health and safety concerns of our dancers and host families/households of which TIDE dance students are staying with during the program.  The information shared will not be shared with any third party, and will be kept private and confidential as per the most stringent privacy laws.  

 

Note:

• All information you submit through this form is protected by privacy laws.
• This form is only good for one specific program/exchange student stay. A new form must be completed for every new program the dancer is accepted to and every new dancer the family/household hosts.
• Please answer honestly - it will not necessarily impact your acceptance, but may require following up by the TIDE representative for more information - you will be notified if this is the case. 
• Information will only shared with the authorities in cases of emergency as per local laws
• Information shared with the host family will be on a 'need-to-know' basis - but you will be contacted first so you know what will be shared.

 ALLERGIES & SENSITIVITIES 

 MEDICAL / HEALTH CONDITIONS  

 INJURIES & SURGERIES 

 MEDICAL DEVICES 

  PUBLIC HEALTH 

  MEDICATIONS 

 

We ask for a list of medications and supplements in case of an emergency.  This has no bearing on your eligibility and will only be shared with emergency personel if required.

  HEALTH INSURANCE 

The host family/household will submit photos of their home for you to see before you arrive so that you (and your family if applicable) know what to expect.

You will also be given more information about the community and health and/or emergency services available should you need them.

Please list the program and country you are most interested - in order of preference. The available programs are listed on the website, www.TIDEprogram.com under Programs.

You will be given more information about the closest and/or best international airport for the host family location/country.  Your host family is expected to pick you up from the airport on arrival and return you to the airport on departure. 

 

Your health insurance information will be kept on file and accessible by TIDE representatives and your Host Family/Household in case of emergency.

Medical Release:

The information that I have provided is true and correct to the best of my knowledge. If in case of emergency, and the person(s) that I have named cannot be reached after considerable effort, permission is granted to the The International Dance Exchange (TIDE) representative to make arrangements in securing proper treatment, including hospitalization, injections, x-rays, or any other operations that may be immediately be needed.   

I hereby authorize to release reports necessary for insurance purposes and likewise grant that the information found in this form may be copied for purposes that are deemed necessary for the Dancer to ensure the dancer's need for securing medical treatment.  The primary host will have the necessary health information and insurance information of the exchange student and give assistance in directing the student to receive appropriate care when neccessary. All health information shall be kept private and sharable only to the proper authorities in an emergency or seeking care. If the exchange student does not have the proper medical insurance, the student will be responsible for all costs of any medical expenses, not the host family.

Liability Release:

In consideration of being permitted to participate in any way in the activities at and to attend the TIDE program, I hereby release, waive, and discharge the TIDE program, its affiliates, agents, and employees from any and all claims resulting in personal injury, death, or property loss due to accident or illness arising from, but not limited to the activities and participation at and travel to and within the TIDE program. I understand that participation in activities at TIDE programs carry with it certain inherent risks that cannot be avoided regardless of the safety measures placed to avoid injuries. I agree to indemnify and hold harmless the TIDE program, its affiliates, its officers, and employees, from any and all claims, damages, and liabilities arising from damage and/or injuries from my participation in the TIDE program activities and my home(s) and vehicle(s) used in the exchange.

I hereby declare that I have carefully read the abovementioned waiver and release and acknowledge that I have read and understood the above information. I agree with its terms and conditions and after knowing the entirety of these facts and in consideration of the TIDE program acceptance of my family and/or household enrollment, I am signing this Health, Consent, and Liability Release form freely and voluntarily to release of all liabilities to the greatest extent allowed by law.

Thank you so much for your time!  You are greatly appreciated as part of the TIDE program family!

Please take the time to review your choices and then click 'SUBMIT'.

After you submit your application form, you will be redirected back to the TIDE program webpage.