Questionnaire for Participation in Study Abroad

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This acts as your legal and binding signature and indicates that all of the information provided is factual to the best of your knowledge.
Do you have asthma or have you ever experienced an induced asthma attack?(Required)
Do you have any known allergies to food, plants, insect stings, bites, or animal hair?(Required)
Do you take any medications on a regular basis?(Required)
Do you have any other condition(s) that might compromise your ability to fully participate in a study abroad program?(Required)
Females Only: Are you pregnant? If you are pregnant, clearance must be obtained through your Ob/Gyn.
This field is for validation purposes and should be left unchanged.