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Student International Travel Pre-Departure Attestation

This pre-departure attestation form requires two virtual signatures: one on the first page, and one on the second. * Please complete and sign Page 1 (Travel Information). * Then complete and sign Page 2 (Assumption of Risk, Waiver, and Release).

Travel Information
Important Information about the next question. Personal Information
















Important Information about the next question. Travel Risk Assessments
Additional instructions for the previous question. CU Travel Advisories


Additional instructions for the previous question. ISOS Travel Security


Additional instructions for the previous question. CDC Travel Recommendations


Important Information about the next question. Group Travel (please answer “N/A” if not applicable)








Important Information about the next question. If you are traveling, whom do you authorize Columbia University to contact in case of emergency?








Important Information about the next question. Attestation
Additional instructions for the previous question. Signature