University of California Education Abroad Program

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Academic Employment Form
Address Information Form, Student (includes financial address)
Advisor Country Responsibility Chart, Campus
Affidavit of Registered Domestic Partnership
Appeal Procedure, Student Conduct
Application for Exemption from EAP Health Assessment
Application for Regents Emergency Loan Fund

Campus Administrative Director’s List
Campus Advisor Country Responsibility Chart
Campus UCEAP Representatives
Classification Instructions and Checklist
Confidential Health History Form and Instructions
Consensus of Where Orientation Items Should be Covered
Cross Regional Contacts, UOEAP

Departmental/College Preliminary Approval to Extend (DPA)
Dependent Care Reimbursement Claim Form, UC, Health for EAP staff abroad
Dependents, Memorandum of Understanding
Dependent Packet for EAP students Dismissal, Sample Letter of
Disciplinary Probation, Sample Written

Egypt Safety Handbook
Electronic Funds Transfer (EFT) Authorization and Instructions
Email Communication Policy, EAP
Emergency Communication Guidelines
Exemption from EAP Health Assessment, Application for 
Exploratory Proposal Template
Extend, Departmental/College Preliminary Approval to Extend (DPA)
Extend, Petition to Extend
Extend, Request for Final Approval to Extend
Extension of Insurance Coverage, Request for (writeable pdf)

Faculty Employment, Sample Contract for
Faculty Handbook Fees 2010-11 Fees 2009-10 Financial Aid Counselors for EAP
Financial Aid Disbursement Schedule
Financial Information, Student
FERPA Fire Safety Flyer
Funds Transfer (EFT) Authorization, Electronic and Instructions

Graduate Admission Information Sheet
Graduate Fees, University of California, 2008-09
Graduate Fees, University of California, 2007-08

Health Assessment, Application for Exemption from
Health Clearance Form, EAP
Health Clearance Instructions
Health Clearance Campus Instructions for Students
Health History Form and Instructions, Confidential
Health Services Campus Contacts
Health Annual Update, 2011-12
Health Annual Update, 2012-13 
Health: Online Travel Health Education Certification Course
Host Institution Preference Form 2006-07

ILP Exemption Request
Incident and Emergency Levels, Student
Incident Report, Annual Safety and
Incident Report for Students Studying Abroad, Safety and
Infectious Diseases: Communication Guidelines
Insurance (Students) Insurance: Accident/Illness Claim Form Insurance: Personal Property Insurance: Trip Cancellation/Interruption
Job Description, 7 Steps to Writing an Effective
Job Description, Guide
Job Description, Sample
Judicial Order or Subpoena, Notification of

Letter, Disciplinary Probation (Sample)
Letter, Dismissal (Sample)
Loan Application, EAP, Confidential Appraisal of Student’s Need, Regents Emergency
Loan Fund, Application for Regents Emergency
Loan Fund — EAP, Promissory Note, UCSB — The Regents Emergency
Loan Information to Students, Regents Emergency

New EAP Program Proposals
Notification of Judicial Order or Subpoena

Office Hours Sign

Petition to Extend
Policies and Regulations Governing Travel (UCOP website)
Promissory Note, UCSB — The Regents Emergency Loan Fund — EAP
Proposal Template, Exploratory

Reciprocal Exchange Forms (html)
Regents Emergency Loan Application, EAP, Confidential Appraisal of Student’s Need
Regents Emergency Loan Information to Students
Regional Contacts, UCEAP
Reprimand (Warning), Sample Written
Request for Final Approval to Extend
Request for Classification Review
Request for Disability Accommodations Abroad Instructions
Request to Review Student EAP Record
Retroactive Petition


Safety and Incident Report, Annual
Safety and Incident Report for Students Studying Abroad
Safety and Security Checklist, Study Center (pdf)
Sample Letter of Dismissal
Sample Written Reprimand (Warning)
Share Your Experiences
Special Study Project Form
Student Address Information Form (includes financial address)
Student Agreement, 2012-13 (sample only)
Student Agreement, 2011-12 (sample only)
Student Conduct Appeal Procedure
Student Financial Information
Student Travel Policy
Study Center Address List (login required)
Study Agreement, Graduate
Study Agreement for Short-Term or Language and Culture Application [GSAG-S], Graduate Subpoena, Notification of, Judicial Order or
Student Policies Study Center Financial Forms
Travel Arrangements for Faculty Travel, Policies and Regulations Governing (UCOP website)
Travel Waiver, Student

UCIE Membership List
Unit Conversion Chart
UCEAP Country Responsibilities Chart
UCEAP Cross-Regional Contacts
UCEAP Regional Contacts

Waiver of Liability (sample only)