PRESHCO Site Visit

You would travel on Saturday Oct 12; have Sunday Oct 13 to rest and have an orientation to Cordoba and the general program. Then you would have the full days of Monday and Tuesday to observe classes, meet students and faculty, etc. Wednesday Oct 16 would likely be a final wrap up before you depart for Madrid in order to take an early morning flight back on Thursday Oct 17.

Name

As it appears on your passport

First Name

Last Name

Title

College

Gender

Date of Birth

Country of Citizenship

Email Address

Cell Phone

Country

(###)

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Will you have cell service in Spain?

Do you have any conditions which may prevent you from climbing stairs or walking 1-2 miles?

Any dietary restrictions or food allergies?

Special medical, physical or health needs

Please state any accommodations that you would like us to be aware of

FOR CONTACT IN CASE OF EMERGENCIES

Name

First Name

Last Name

Relationship

Home Phone

Country

(###)

###

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Work Phone

Country

(###)

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Cell Phone

Country

(###)

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TRAVEL PLANS

Dates of travel

Alternate Trip Dates

Please describe when you would like to depart for Spain and when you would like to return.