Student Safety Abroad Registry

Foip Notification

The personal information requested on this form is collected under the authority of Section 33 (c) of the Freedom of Information and Protection of Privacy (FOIP) Act of Alberta.  It will be used for the purpose of administering the University of Lethbridge’s hazard assessment program in accordance with Alberta Occupational Health and Safety legislation.  Questions about this collection can be directed to the University’s FOIP Coordinator at 4401 University Drive, Lethbridge, AB T1K 3M4; foip@uleth.ca; 403-332-4620.

Personal Travel Form

Please use this form to register any travel on university activity. Registration for personal travel is optional.

Personal Information
Passport Information
Travel Documents
* If a travel visa is required for your activity in your destination, please include type of travel visa, travel visa number, issue and expiry dates.
Home Contact Information
Primary Emergency Contact
* Include details that would help us to communicate with the primary contact.
County Details

Enter your estimated dates of travel for this destination.

Travel Details and Itinerary
* Provide additional information about your location for your first destination. (i.e., town, city, region)
* (i.e., flight details, arrival and departure times)
Host Organization Contact
(i.e., manager, coordinator, administrator)
Address and contact details while abroad
* Include the destination address and destination phone number (line by line)
Insurance

It is required that you have a sufficient health insurance while travelling abroad. Please provide your insurance details below. To learn more about traveling insurance, contact Risk and Safety Services.

Agreement