Overview

Here is an outline of the enrollment process. Please be sure to read throughly along with the Program Terms & Conditions prior to enrolling.

After successful completion of the program application, including the program $300 enrollment fee, you will receive an email confirmation containing the following:

Video session availability, which should be scheduled and concluded within ten days of receipt
Additional information covering your payment election that you will select at the final stage of this application. It is important to understand that the first payment should be secured no later than 30 days following program acceptance.

Within fourteen days after the completion of your video session, you will receive an email of your acceptance decision.

The application process is quite simple; however, should you have any questions, feel free to contact us at info@globallyabroad.com.

Step 1

STUDENTS INFORMATION

Select Program*

Select a housing preference*

IMPORTANT NOTICE:

Please contact our office before enrolling in this 14-day, South Africa: Safari Experience. You can reach us at info@globallyabroad.com or 877 - 55 - GLOBAL

First Name

Middle

Last Name

Students Address*

Enter address

Enter City

Country

State / Province

Postal Code

Phone

Email Address

Date of Birth*

DOB ×

Age (at the time of program)*

Age

Gender*

How did you hear about this program?*

If referred, enter the name and email of the person who referred you.

Write Here

Are you currently enrolled in school*

Yes

School Name*

If enrolled, where do you attend?

Enter School Name

Step 2

PARENTS/GUARDIANS INFORMATION

Enter Full Name

Check here if the address is the same as the participants.

Parents/Guardians Address*

Enter address

Enter City

Country

State/Province

Postal Code

Phone

Email Address

I'd like to be included on all emails

Step 3

STUDENTS MEDICAL HISTORY

This section is a brief medical questionnaire to determine the student's enrollment eligibility. A detailed medical form will be requested upon acceptance. (Please note, any medical information provided to GBA will solely be used for the purpose of program eligibility.)

What are your medical and surgical histories?*

(Please include if you’ve been hospitalized, treated for a chronic condition, had medical tests, or surgeries)

Write Here

What allergies (if any) do you have?*

Write Here

What prescription and non-prescription medications do you take regularly? Do you carry any medication in case of an emergency? *

Write Here

Does your health prevent you from participating in any activities?*

Yes

Please explain*

Write Here

What are your dietary needs and/or restrictions?*

Write Here

Do you smoke or use tobacco? *

Yes

Please select your swimming ability? *

Advanced

Intermediate

Non-Swimmer

Step 4

SHORT ANSWER

We acknowledge that you could have chosen any other program; we are truly honored. Tell us why you decided upon Globally Abroad to study or travel abroad? Based on your program selection, why did you choose that particular program? *

Write Here

One of our primary core values here at Globally Abroad is excellence. What does excellence mean to you?*

Write Here

In your own words, what is a global citizen?*

Write Here

Do you consider yourself a global citizen?*

Why do you consider yourself a global citizen?*

Write Here

Why do you want to become a global citizen?*

Write Here

What are the personal, professional, and/or education goals you wish to accomplish upon completion of this program? *

Write Here

What are you most excited to experience while traveling with Globally Abroad on this program?*

Write Here

Step 5

REFERENCES

The references are a point of contact that will provide an independent insight into your character. Please provide one (1) personal reference and one (1) educational reference. If you currently are not enrolled in school, only then may you provide a professional reference.

Personal Reference*

Name

Phone

Email Address

Educational / Professional Reference*

Name

Phone

Email Address

Do you wish to submit a reference letter as BONUS? *

Yes

Please upload up to two (2) reference letters.

Drag 'n Drop files here

Max file size: 976.56 KB. | Allowed file types: pdf | Min number of file: 1

Select Files

Step 6

SIGNATURE

Please read the Program Terms & Conditions thoroughly. It contains vital information about your GBA program and must be signed by all participants who are 18 years of age at the time of signing or will become 18 during the program. If you are a minor at the time of completing this application, at least one parent/guardian must sign as evidence of your understanding of and agreement to the terms and conditions linked above, on their own behalf, and on behalf of you (the participant).

By signing below, you agree to the Program Terms and Conditions.

Students / Parents Signature

SUBMISSION

ENROLLMENT FEE

I agree to pay my enrollment deposit of $300.00 + 3% processing fee charged today by credit card. I agree to pay the remaining balance via credit, cashier's or secure electronic check / ACH payment, or check by April 15th. (All payments are in U.S. dollars).

If you are using a discount code, please enter the code below. The 3% processing fee will automatically be calculated in the amount.

Enrollment Amount

Enter Discount Coupon

enter your code

Discounted amount 0

Payment Method*

Credit Card

Enter Card Details*

we do not store any information you provide

Future Payment*

Upon program acceptance, you will be required to submit your first payment within 30 days. For additional information on payment options please visit our Payment & Refunds page. Select one of the following options:

Would you like to sign-up for an auto-pay?

Auto-pay will be established upon program approval. We will confirm prior to set-up.

APPLY

Program Application

Application successfully restored

Overview

Step 1

STUDENTS INFORMATION

Step 2

PARENTS/GUARDIANS INFORMATION

Step 3

STUDENTS MEDICAL HISTORY

Step 4

SHORT ANSWER

Step 5

REFERENCES

Please upload up to two (2) reference letters.

Step 6

SIGNATURE

Students / Parents Signature

SUBMISSION

ENROLLMENT FEE

Yaaay! Your program application has been submitted

Program Details

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APPLY

Program Application

Application successfully restored

Overview

Step 1

STUDENTS INFORMATION

Step 2

PARENTS/GUARDIANS INFORMATION

Step 3

STUDENTS MEDICAL HISTORY

Step 4

SHORT ANSWER

Step 5

REFERENCES

Please upload up to two (2) reference letters.

Step 6

SIGNATURE

Students / Parents Signature

SUBMISSION

ENROLLMENT FEE

Yaaay! Your program application has been submitted

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