<p> HR-3550 REGISTRATION FORM ‘UN STUDY TOUR’ 2015</p><p>HR-3550 Human Rights & Security at the UN (Prof. Marilou McPhedran)</p><p>Campus Classes: Wednesdays from 2:30 – 5:15pm 1MS25 (Global College, 520 Portage Ave.)</p><p>Field Classes in New York: October 19-24 (subject to change)</p><p>Name: ______Tel. ______</p><p>Address: Email: Nationality (of passport you will use for travel) ______University of Winnipeg student ID# ______Enrollment status Full-time: ____ Part-time: _____ Undergraduate: _____ Graduate: ______Major: ______Credit hours completed (including current term) ____ Check if you wish to apply for a Field Course Bursary _____</p><p>To request space in the UN STUDY TOUR 2015 Field Course 1. Submit a statement (approximately 2 pages) describing your interest in the Field Course and any relevant background studies or experience. If you are requesting a bursary, add an explanatory note about your need for the bursary. 2. Students attach a copy of your academic transcript from WebAdvisor. 3. Enclose a down payment of $100 on the field course fee payable to “University of Winnipeg – UN STUDY TOUR 2015.” The down payment will be returned if your application is not accepted. Date of application will be a consideration in determining acceptance into the course.</p><p>Procedures for Acceptance Applicants will be notified of acceptance within two weeks of application being received. At the time of acceptance, the amount of the field course fee (described below) will be confirmed. Conditions of participation  I understand that if I am accepted for the course, I will pay a field course fee, estimated to be $1,600. The field course fee includes accommodation, transportation, most meals & admission fees for museums or sites that are part of the Field Course. The $1,600 field course fee does not include tuition. If accepted into the course, payment in full is due Wednesday, September 9. </p><p>Student Status -</p><p> o Regular students - I understand that I will register and pay tuition fees as applicable for HR-3550, and participate in all pre-departure class sessions; </p><p> I understand that I am traveling as part of a group booking included in the field course fee and that I will promptly provide all information requested to confirm said booking;</p><p> I understand that I am responsible for having a valid passport, appropriate medical insurance, and any relevant medical preparations;</p><p> I affirm that I have satisfactory health to engage in international travel, climb hills or stairs, and walk over uneven surfaces; and</p><p> I understand that I will be required to sign a Release of Liability agreement.</p><p>Signature ______Date ______</p><p>Submit to: Inquiries: UN STUDY TOUR 2015 The University of Winnipeg Global College [email protected] 520 Portage Avenue 204-988-7105 Winnipeg, MB R3B 2E9</p><p>2</p>