Student Statement of Understanding




Upon notification of my acceptance into the Mercer On Mission program, I understand and acknowledge that I am responsible to…

¨Pay for all expenses incurred on my behalf should I withdraw from the program after I pay my deposit.(For example, If I withdraw from the program after my airline ticket has been purchased, I am responsible to pay and will be charged for the full amount of the ticket.)

¨Complete Accepted Student Forms found on the Terra Dotta website.

¨Throughout the application process, use my name exactly as it appears (or will appear) on my passport.

¨Go to the Bursar's office and pay my $500 non-refundable deposit, using the "ticket" provided in the Accepted Student Forms. (This deposit is non-refundable for tuition-waivered students also.)

¨Submit a photocopy of the picture page of my passport on Terra Dotta. If I do not have a passport, I will apply for one immediately.

¨Consult with a medical professional (family doctor or county health department's Travel Nurse) to receive relevant medical advice and appropriate vaccinations for your travel.


I understand and acknowledge that…

¨I have consulted with my academic advisor about the Mercer On Mission courses I will take.

¨I am enrolling in the two three-hour courses advertised with my program for which I will receive academic credit and grades that will be entered on my permanent record.

¨I will be charged for six hours of tuition at the standard summer school rate.

¨I may not enroll in a Mercer On Mission course as S/U.

¨I may not withdraw from the program once the travel component has begun.


I understand and acknowledge that…


¨I must travel with my cohort and am not permitted to deviate from the group travel itinerary, except for academic reasons approved by the Director of Mercer On Mission.

¨I will follow the code of conduct established by the professors leading my program.

¨I am not permitted to conduct myself in a way that reflects poorly on myself, my host agency, Mercer On Mission or Mercer University.

¨I am not permitted to participate in behavior that impairs my ability to participate to the fullest of my capacity or that inhibits others from doing so.

¨I will diligently follow all safety instructions presented to me by my Mercer On Mission professors.

¨Failure to do so could result in my being removed from the program and sent home at my own expense.


Signed  ________________________________________


Printed Name ____________________________________


Date __________________________________________