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About Your School

1. What 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 coverage. (Check all that apply):

*Please be advised that this is a mandatory 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.**

If “faculty” is selected, all faculty traveling must be included.

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.**

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.

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.**

Include

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.**