Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
Please complete for the whole of your year abroad if you will be staying within the
EU/Russia.
Student Name
Name of host organisation(s)
Year Abroad Dates
Date of students departure from UK
Date of students return to the UK
Samantha Herriot
Voronezh State University, My internship abroad
7/09/13-15/07/14
07/09/13
15/07/14
INSURANCE
1. a.) If you are going on placement/study within the European Union,
please confirm that you have purchased the University Placement
Insurance Policy: http://go.bath.ac.uk/erasmustravel
Please be aware that this is per activity rather than for the whole of the
year abroad.
x Yes No
b.) If you are going on placement outside the European Union, please
confirm that you have purchased a comprehensive insurance policy to
include personal accident, personal liability, medical expenses, legal
expenses, repatriation, and travel insurance suitable for a work
placement in the country to be visited.
x Yes No
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x Yes No
x Yes No
x Yes No
x Yes No
x Yes No
x Yes No
8. Please confirm that you have had any necessary medical and
dental checks.
x Yes No
x Yes No
10. Have you taken appropriate advice regarding malaria and other
endemic diseases as appropriate and are taking any necessary
medication?
Yes No
x NA
Yes x No
12. If yes, please give address. (If you will be spending some time in
temporary accommodation on location, please describe this
accommodation).
13. In an emergency, do you give permission for University staff to
discuss you and your placement situation with the next of kin
detailed on SAMIS and do you confirm that your emergency
contact details are up-to-date?
14. Do you know of any reason why you would not be capable of
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x Yes No
Yes x No
15. If you have answered yes to question 14, have you discussed all
access needs and adjustments required with the University?
Yes No
During the year abroad preparation day you will be briefed on the below
issues. Should you feel you need more guidance on the below please
contact Vicky Hill: V.L.Hill@bath.ac.uk.
:
Culture shock
Cultural awareness including religious culture & customs
Social Behaviour
Relationships and Sexual Behaviour
Political situation
Personal Safety
Accommodation safety
Prices/attitude to prices/bargaining/humility
Financial awareness/cash points/how to avoid being a target, gift
culture
Personal Information/passport/insurance/credit cards etc.
Safety whilst travelling/use of public transport/taxis etc.
Frequency and method of contact with University staff
Your placement contact details & H&S form
16. Are you aware of the cultural differences in the country to which
you will be travelling and will you dress and behave accordingly?
x Yes No
The University of Bath has endeavored as far as is reasonably practicable to ensure a safe
working/studying environment for you. However, we have not visited the premises or
physically carried out an on-site health and safety inspection, nor have we visited the
student accommodation or the area in which it is located.
As a student on placement/studying, based in an external organisation you are personally
responsible for your own health and safety (the position is similar to that of an employee).
You should therefore consciously take steps to safeguard and protect your own health and
safety whenever you are. Please ensure that you take any special equipment you require
to undertake your placement/study. Please immediately report any concerns to the
relevant year abroad officer/personal tutor.
STUDENT DECLARATION
I confirm that the information I have given is accurate and correct, and that I understand and
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