Request for Withdrawal Form

MANDATORY FOR ALL STUDENTS

All students are required to complete the following form to confirm their withdrawal from the program in Florence and to arrange for classes to continue remotely.

#1 Acceptance Commitment Agreement - DEPOSIT REQUIRED

Your Name(Required)

First Middle Last

Home university(Required)

For which semester(s) will you join ISI Florence?(Required)

Fall Semester

Spring Semester

Summer 1

Summer 2

Please select all that apply.

Please select the year in which you will study at ISI Florence (select the first relevant year if studying abroad for an academic year).(Required)

2024

2025

2026

Email(Required)

Enter Email Confirm Email

Commit(Required)

I hereby formally accept the invitation to participate in the study abroad program at the Institute for the term I selected above.

Commit 2(Required)

I understand that this signed commitment is binding and represents my intent to enroll in the program for the specified term. I acknowledge that canceling my enrollment and failing to participate in the program may result in fees and/or penalties in accordance with the Institute's cancellation and refund policies.

DEPOSIT

I acknowledge that a deposit is required to secure my enrollment in the program including housing allocation and advanced enrollment in my course selections.

The deposit payment is due within 14 days of the receipt of the invoice sent to me by email. I understand that my space in the program will not be reserved nor will I be enrolled in my course selections until the deposit is received and that the deposit is fully refundable up to 90 days prior to the start of the term.

PAYMENT BALANCE

I understand that the balance of the program fees is due upon receipt and no later than 30 days prior to the start of the term.

CANCELLATION OF ENROLLMENT

Cancellation of enrollment must be submitted in writing to [email protected] and will only be considered effective upon written receipt and notification by the Institute. Should I decide to cancel my enrollment within 75 days of the start of the term, I will be responsible for the fees and penalties in accordance with the cancellation and refund policies.

HEALTH AND SAFETY

I commit to adhering to all health and safety guidelines set forth by the Institute and the host country. This includes, but is not limited to, compliance with local laws, respect for cultural norms, and adherence to travel advisories.

ACADEMIC COMMITMENT

I pledge to uphold the academic standards of the Institute while participating in the study abroad program. This includes attending all required classes, completing assignments, and respecting the academic policies of both the institute and my home institution.

GOVERNING LAW

This agreement shall be governed by, and interpreted in accordance with, the laws of the State of Florida.

SIGNATURE

By signing below, I acknowledge that I have read, understand, and agree to all terms and conditions stated in this agreement.

Your signature(Required)

Today's date(Required)