Code of Ethics

The FOUNDATION FOR INTERNATIONAL UNDERSTANDING THROUGH STUDENTS (FIUTS) is a non-profit organization based at the University of Washington with over 70 years experience enhancing cultural exchange and building international understanding. Our mission is to connect students with local and global communities through programs that build international awareness, cross-cultural communication, and informed leadership. FIUTS is a secular and non-political organization, open to people of all faiths and ideologies who wish to come together in the spirit of compassion, curiosity, and international friendship. As an organization, FIUTS is welcoming, supportive, inclusive, and fun. We value open-mindedness and respect for the richness of cultures around the world. FIUTS asks that anyone participating in our activities comply with the following guidelines: •Demonstrate awareness of, sensitivity to, and respect for other values, beliefs, viewpoints, systems, and cultures. •Recognize their own cultural and value orientations and be aware of how those orientations affect their interactions with people from other cultures. •Not discriminate with regard to race, color, national origin, ethnicity, sex, religion, sexual orientation, marital status, age, political opinion, immigration status, or disability. •Not proselytize. Proselytizing is defined as unsolicited, coercive, manipulative and/or hidden persuasion that seeks to influence others to adopt another way of thinking, believing or behaving, particularly in relation to religious and political views. •Not exploit, threaten, coerce or sexually harass others. •Seek appropriate guidance and direction when faced with ethical dilemmas. Please help us ensure that FIUTS is a place where international friendships can truly flourish. Let a FIUTS staff or board member know immediately if anyone involved in a FIUTS activity does not respect the above guidelines. If you prefer to raise your concerns anonymously, please send your concern by mail to FIUTS, 909 NE 43rd Street Suite 210, Seattle, WA 98105. To speak with a staff member directly, email info@fiuts.org. Please type your name and today's date to indicate agreement with this policy.

Date

Please enter today's date.

Health Information Self-Assessment instructions

This form is to help create awareness of any health issues that you should take into consideration before going abroad. This information will be used primarily to guide us in offering resource information to you about how to manage your issues while abroad. Some countries have entrance/length of stay restrictions on visitors who have certain serious diseases. Please read the questions below and answer either YES or NO by typing the your answer. If typing YES, please provide a brief explanation.

1. Do you have any pre-existing conditions?

Please specify Yes or No

2. Do you currently receive any treatments or medication on a regular basis? i.e. migraine medication, inhalers, etc.

Please specify Yes or No

3. Do you have any dietary restrictions?

Please specify Yes or No

4. Do you have any allergies to medication, plants, food, animals, etc.?

Please specify Yes or No

5. Do you have any physical limitations or disabilities?

Please specify Yes or No

6. Have you ever had a major illness?

Please specify Yes or No

7. Have you ever had a major surgical operation or been advised to have one?

Please specify Yes or No

8. Have you ever been hospitalized?

Please specify Yes or No

9. Have you ever received treatment for drug or alcohol abuse?

Please specify Yes or No

10. Have you ever been treated by a psychiatrist, psychologist, or counselor for any mental, emotional, or nervous disorder?

Please specify Yes or No

11. Have you ever received treatment for depression, anxiety, or sleep disorder?

Please specify Yes or No

12. Have you ever had treatment in an inpatient program for mental or emotional disorders?

Please specify Yes or No

Name and Date

By typing your name and today's date, I certify that the above information is true to the best of my knowledge

Media Release Agreement

In connection with my participation in the U.S. Department of State (DOS)-sponsored SUSI Program, I hereby consent to and authorize DOS, IREX, and FIUTS to photograph, screenshot, or otherwise record and use my image and/or voice in all media and/or technology developed in connection with SUSI to promote SUSI programs.Additionally, I hereby authorize DOS, IREX and FIUTS to release, publish and/or quote such material, including my name, in connection with related public information programs and activities.With respect to this material, I understand that content may be included in future speeches, on the Internet, through radio and print media (which may include use by U.S. Embassies abroad) to promote DOS exchange programs and public diplomacy efforts. This content will not be used for commercial purposes. I understand that if I have concerns about my name/image/voice being used for the promotion of the SUSI program, I may decline to give my consent and can still continue to participate in all virtual exchange program activities without being disadvantaged with respect to those activities.

Name and Date

By typing your name and today's date, you are confirming that you agree to the media release agreement for your visiting program.

Acknowledgement of Risk

I (you) will be participating in the FIUTS (visiting program), participating in activities and excursions between (program dates). I understand and acknowledge that the activities that I have agreed to undertake as a requirement of this program may expose me to risks including discomfort, inconvenience, serious injury, death, and/or loss of or damage to personal property as a result of, but not limited to, the following: •riding in, traveling on or operating motorized vehicles, on land, in air and on water; •uncomfortable and dangerous air, land or water transportation; •crowded, rugged, rustic living accommodations with minimal amenities; •severe and/or unpredictable environmental conditions and events including weather and natural disasters; •dangerous terrain, high altitude conditions, and/or water and ocean conditions; •dangerous and/or poisonous flora and fauna; •shortages and inconveniences, such as power outages, lack of refrigeration, lack of hot water and/or privacy; •food-borne, air-borne, water-borne diseases, parasites and other contaminants; •exposure to transmittable and contagious disease as well as air, water or other environmental pollutants; •intentional or unintentional damage to personal property; •injury due to criminal activity including but not limited to assault, rape, murder and kidnapping; •theft of personal property, identity theft, and/or other criminal losses to property; •unforeseen or rapidly emerging political, economic, security, weather or other conditions; •fluctuating currency rates and economic disruptions; •transportation delays, disruptions or cancellations. 2. ASSUMPTION OF RISK FOR FIUTS PROGRAM PARTICIPANTS In offering this field trip, FIUTS makes effort to inform participants of the health risks involved in the trip and assist them in developing plans to mitigate those risks. However, FIUTS cannot assume responsibility for damage to or loss of property, personal illness, injury, or death of a participant, or emergency response related to any of the program activities. We require that each applicant sign the following statement as an indication that this position is understood and accepted. I acknowledge that there are certain risks inherent in participation in all program activities, including but not limited to those indicated in Section 1. I acknowledge that not all risks can be prevented and I assume those risks that are beyond the control of the FIUTS staff. I represent that I am able, with or without accommodation, to participate in this trip. I acknowledge that FIUTS does not provide health and accident or evacuation insurance for students. I agree to be financially responsible for any medical bills incurred as a result of taking this trip.

Name and Date

By typing your name and today's date, you are confirming that you agree to the acknowledgement of risk form.

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