Office of Global Initiatives
170 North St. P.O. Box 139
Dryden, NY 13053 USA
E-Mail: global@tompkinscortland.edu
www.tompkinscortland.edu/global
Study Abroad Understanding of Travel Costs and Payment Disclosure
__________________________________________________________________________________________________
Name (Last, First, Middle) Program Location Abroad Student ID
UNDERSTANDING OF STUDY ABROAD TRAVEL FEES AND OTHER EXPENSES
The course travel fee for my program, in addition to regular tuition and fees, is $_________________. By signing below,
I acknowledge that I am aware of the costs of the program including tuition, college fees, as well as estimated expenses
not included in the travel fee. These costs may include passport and/or visa fees, meals, vaccinations, and incidentals. I
understand that payment in full of tuition, fees, and travel cost are due in full by published deadlines.
Student Signature:___________________________________________________________________________________
My signature below attests that all statements made with regard to study abroad funding made on this document are
true to the best of my knowledge. I acknowledge that if any of these statements are found to be false, I may be dropped
from the course/trip.
__________________________________________________________________________________________________
Student Signature Date
The viability of this College study abroad course/trip planned for the end of the designated semester is fully reliant
on all registered students making and following through on a commitment to pay the travel fee according to
published deadlines. The purpose of this form is for students to fully understand the costs and disclose their
payment plans for the program. THIS FORM MUST BE COMPLETED AND RETURNED TO THE GLOBAL INITIATIVES
OFFICE (ROOM 230) BEFORE THE INTERVIEW AND REGISTRATION PROCESS. FAILURE TO MEET PAYMENT
DEADLINES MAY RESULT IN BEING DROPPED FROM THE COURSE/TRIP.
Payment Resources – Please check all that apply and include amounts for each:
Cash, Check, Credit Card, or FACTS payment plan: $_________________________________
Financial Aid (Including grants, scholarships, and loans): $_____________________________
Financial Aid Certification (Signature of Financial Aid Representative):______________________________________
Other Funds: $______________________________
Please describe the source of other funds:
