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Academic Explorer: Group Plan Questionnaire

About Your School

1. What trip protection coverage are you interested in?  (Check all that apply): *This question is required.
2. What types of trips will the school be providing?  Please select only one: *This question is required.
3. Please indicate the participants to be included in trip protection coverage.  (Check all that apply):

Please be advised that this is a group program; if "student" is selected, all students traveling must be included. If "faculty" is selected, all faculty traveling must be included. *This question is required.
4. Does the school travel to the same destinations yearly? *This question is required.
5. What is the approximate number of participants that travel annually? *This question is required.
6. What is the average program cost per person?

For Students, the Program cost is defined as all fees paid directly to the school
including tuition, room, board, transportation and tours.

For Faculty/Chaperones, the Program cost is defined as all pre-paid non-refundable
trip costs paid by the school.
*This question is required.
7. Airfare can be added if it is not included within the transportation fees of the program. Do you want airfare added to the program cost for coverage? *This question is required.
8. What is the maximum program cost per person on any one trip? *This question is required.
9. What is the average trip length per person?  (In days)  *This question is required.
10. What is the maximum trip length per person on any one trip?  (In days) *This question is required.
11. What is the average number of persons traveling on any one trip? *This question is required.
12. What is the maximum number of persons traveling on any one trip? *This question is required.
13. During any month in one calendar year, does the school have multiple trips to the same country? *This question is required.
14. Does the school plan to include travel to any of the following destinations? 
        If no, please select "No travel to any listed destination is planned for the upcoming academic year." Also note that not all travel perils will apply to certain areas.
  *This question is required.
15. Please indicate, by percentage, travel to the following regions on an annual basis: *This question is required.
16. Have any student trips been cancelled within the past 5 years? *This question is required.
This question requires a valid date format of MM/DD/YYYY.
17. Please provide your email address and phone number.  This will be the email your quote will be sent to. We may contact you through phone if we have any questions. *This question is required.