Risk Management Agreement/WaiverRisk Management Agreement/Waiver • November 25th, 2021
Name: Student ID #: Reason for the Trip: Exchange Summer Course Clinical Rotation Research Faculty-led Course Conference Internship Volunteer Other(Specify): Destination Country(s): City(s): Program Date: From: (mm/dd/yy) To: (mm/dd/yy) I confirm that I am fully-vaccinated with a Canadian-approved COVID-19 vaccine: Yes No
Risk Management Agreement/WaiverRisk Management Agreement/Waiver • November 25th, 2021
Name: Student ID #: Reason for the Trip: Exchange Summer Course Clinical Rotation Research Faculty-led Course Conference Internship Volunteer Other(Specify): Destination Country(s): City(s): Program Date: From: (mm/dd/yy) To: (mm/dd/yy) I confirm that I am fully-vaccinated with a Canadian-approved COVID-19 vaccine: Yes No
