This agreement and release is made and entered into between East Tennessee State University (hereafter referred to as UNIVERSITY) and _____________________________________________ (hereafter referred to as STUDENT) for Participation in Study Abroad/Exchange programs.

WHEREAS, UNIVERSITY desires to provide educational exchange opportunities for its students including studying at our exchange universities overseas,

WHEREAS, STUDENT desires to participate in exchange under the terms and conditions hereinafter set forth;

NOW, THEREFORE, in consideration hereof, the parties agree as follows:

II – STUDENT’S OBLIGATION

The collection, retention and dissemination of your records and information about you are subject to federal regulations under the Family Education Rights and Privacy Act of 1974. This means that you are responsible for specifying persons or agents who may have access to your records. It is, therefore, necessary to obtain your permission to collect and release information appropriate to your application and participation in the exchange, e.g., letters of recommendation, transcripts, conduct, fiscal, and medical and/or counseling files that have a bearing on your application for exchange as well as your continuing eligibility for exchange while at the host institution. STUDENT further agrees that the UNIVERSITY and host institution may disclose to one another information, which describes the financial, academic, health and disciplinary status of the STUDENT.

STUDENT agrees that the above-mentioned information may be released: a) as part of the review and approval of the application for exchange, b) for the purpose of placement on exchange, c) to the host institution, d) and by the host institution to the home institution during the period of exchange.

STUDENT understands that the UNIVERSITY assists students in making arrangements to exchange to the host institution only as a service to the students. UNIVERSITY does not make any warranties of any kind, expressed or implied, regarding exchange program participation, including perceived quality of the experience or services rendered. The UNIVERSITY assumes no responsibility and disclaims any liability for any damages or injuries suffered by STUDENT by reason of negligent or wrongful acts or failures to act of any person or institution with whom the UNIVERSITY makes arrangement for the promotion, facilitation, and/or operation of the exchange.

STUDENT understands that participation in exchange is voluntary and is not required by the UNIVERSITY.

STUDENT understands that course prerequisites and program requirements at the host institution must be met. STUDENT further understands that course registration at the host institution is based on availability of offerings and cannot be guaranteed.

STUDENT shall pay the tuition/fees to UNIVERSITY and room/board to the host institution, or full program fees to the university, in a timely manner.

STUDENT understands that failure to make full payment of all required fees or to resolve other debts to the UNIVERSITY or host institution (e.g., unreturned equipment, overdue short-term or emergency loans, lost library books, residence hall or meal plan payments, or any other financial obligations required by the host institution or UNIVERSITY) may result in the cancellation of registration for the following semester, denial of registration until payment is made, and/or disenrollment at the host institution or UNIVERSITY. STUDENT further understands that all financial obligations to the host institution or UNIVERSITY must be fulfilled prior to receiving transcripts from the host institution or a diploma from the UNIVERSITY.

STUDENT shall obtain and maintain health insurance, which is satisfactory to the UNIVERSITY and/or the host institution and provides, at a minimum, coverage for the time period of exchange.

STUDENT shall obtain immunizations required by the UNIVERSITY and/or host institution as well as comply with any other medical matters relating to STUDENT’S participating in exchange.

If, during his/her participation in exchange, STUDENT becomes incapacitated or otherwise unable to provide consent to medical treatment and advance consent cannot be obtained from STUDENT'S family, STUDENT agrees that medical treatment may be performed when, in the opinion of competent medical personnel, the health or welfare of STUDENT will be adversely affected by any delay. In such event, STUDENT authorizes the UNIVERSITY'S or host institution's exchange coordinator or designated representative to grant permission for the necessary medical treatment of STUDENT.

STUDENT understands that the UNIVERSITY and the host institution cannot guarantee his/her health and safety while participating in exchange. STUDENT is responsible for acting prudently and exercising caution and common sense at all times.

STUDENT understands that he/she is participating in a program that requires some form of transportation from the UNIVERSITY and/or own home to the host institution. STUDENT agrees that the UNIVERSITY and the host institution are not responsible for any personal injury, death, and/or loss or damage to property suffered by STUDENT during periods of travel associated with, and independent of, the exchange program.

STUDENT shall abide by all applicable rules, regulations, and policies of the host institution as well as the academic and social standards established for the host institution. STUDENT agrees that failure to so conform may result in the termination of exchange participation. Furthermore, STUDENT understands that either the host institution or the UNIVERSITY may take further disciplinary action.

STUDENT assumes the responsibility of requesting that an official transcript of the host institution's work be sent to the UNIVERSITY.

STUDENT forever discharges the State of Tennessee, the Board of Regents, the University System, the UNIVERSITY, the host institution, their respective officers, employees, attorneys, representatives, insurers, agents, and assigns, each and every person, natural or corporate, from any and all demands, causes of action and/or judgments of whatsoever nature or character, past, present or future, known or unknown, whether in contract or in tort, whether for death, dismemberment, disability, physical or mental illness, financial loss, property damage, inconvenience, failure to maintain academic progress, accounts receivable, credits, refunds, or any other monies due or become due, or other damages of any kind and nature, which have accrued, and whether arising from common law or statute, to me, my heirs, executors, legal representatives, successors, or assigns, arising out of, in any way, my participation in exchange as a STUDENT at UNIVERSITY.

STUDENT agrees to indemnify and hold the Board of Regents, the University System, the

UNIVERSITY, the host institution, and their officers, agents or employees harmless for any financial liability and obligation which he/she personally incurs, and for any injury, loss, damage, liability, cost or expense to the person or property of another which is caused or contributed to by STUDENT during his/her participation in exchange program.

III - UNIVERSITY'S OBLIGATIONS

UNIVERSITY will facilitate STUDENT'S participation in exchange by processing the documentation necessary for enrollment at UNIVERSITY and host institution, and by acting as liaison with the host institution.

Upon satisfactory completion of exchange, UNIVERSITY will grant STUDENT credit for courses taken at the host institution in compliance with the advising agreement completed prior to the STUDENT’S departure for exchange that governs the work to be undertaken at the host institution.

All lawsuits brought by one party hereto against the other and which are in regard to this Agreement and Release or in any way relating to STUDENT'S participation in exchange shall be filed and litigated in a court of competent jurisdiction in Tennessee.

This Agreement and Release and all claims and causes of action brought by one party hereto against the other and in any way relating to STUDENT'S participating in exchange shall be governed by the laws of the State of Tennessee.

STUDENT has read this Agreement and Release, understands its contents, and acknowledges that it is signed freely, voluntary, and under no compulsion.

STUDENT (please print)

STUDENT (signature)

DATE

PARENT/LEGAL GUARDIAN has read this Agreement and Release, understands its contents, and acknowledges that it is signed freely, voluntarily, and under no compulsion.

PARENT/LEGAL GUARDIAN (please print)____________________________________________

PARENT/LEGAL GUARDIAN (signature)______________________________________________

DATE:

UNIVERSITY

BY:

Representative of the UNIVERSITY

TITLE

DATE