LEAPYEAR 2014: Packet II—Logistical Preparation
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LEAPYEAR – “U” Group
January - August 2014
Packet II – Logistical Preparation
(10/13 revision - page 1 of 5)
Welcome to the next step in your journey! This packet gives the logistical information you need to prepare for
your 2014 LEAPYEAR, which runs from January 2014 through August 2014. This is packet #2 of four
preparatory packets:
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Packet I - Acceptance and Registration - Contained the Program Calendar, Financial Aid Information,
Program Payment and LEAPYEAR Policies. Previously sent.
 Packet II - Logistical Preparation - Contains Instructions To Access Online Information
About Communication, Safety, Travel Details, Health Insurance, Immunizations, Visas,
Gear and Equipment packing lists. Also Includes Logistics Paperwork.
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Packet III - Academic and Mental Readiness - Devoted to academic preparation, college credit, guidance
on choosing an internship, and things that students can do to mentally prepare for their LEAPYEAR
journey. Arrives mid-Fall shortly after the logistics packet.
Parent Packet - A packet for parents that prepares them for the transitions that their son/daughter is moving
through as well as how to prepare for the Rite of Passage weekend – May 9-11. Arrives mid-winter.
The last three pages of this packet are to be filled in with the information that we need from each student before
their arrival on campus. Any additional information that you will need to know to prepare for the year ahead is
found on a webpage that we have designed for the LEAPYEAR group, called the LN Groups Page. The site is:
www.leapnow.org/lngroups. Here you can find information regarding communication, safety, making travel
arrangements, health insurance, immunizations, visas, packing, and more. You will also be able to learn more
about your fellow students and leaders on this site.
If you have any questions that are not answered on the LN Groups Page, feel free to call or e-mail our office.
Please keep all materials we send you in one place – preferably a binder of some sort – so that you don’t lose
information, and we don’t have to send it to you more than once.
We are looking forward to your January 8th arrival at our Maacama (named after the creek that flows through)
campus. As you prepare for your program, please feel free to contact our office with any questions or concerns.
Warmly yours,
Sam Bull, Co-Founder & Executive Director
Cassie Bull, Co-Founder & Director of Education
James Quinlan, International Program Director
LEAPNOW: Transforming Education
Phone: 707-431-7265
Email: [email protected]
11640 Highway 128, Calistoga, CA 94515 USA
Fax: 707-431-8479
Website: www.leapnow.org
LEAPYEAR 2014: Packet II—Logistical Preparation
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MASTER LOGISTICS CHECKLIST
(presented in order of urgency & importance –start at the top of this list and work down!)
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Visit the LN Groups Page at www.leapnow.org/lngroups for detailed logistics
information. If you have any issues, call 707-431-7265 and speak to our staff.
Passport, Visa & Money: Read the information on the LN Groups Page about your critical travel
documents. Use the checklist below to ensure all steps are completed.
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Passport – Scan and email us a copy of your passport ASAP. We need a copy of your passport to
book your international ticket and delays in this step may increase the cost. If you need a new
passport, get one immediately because the process can take up to ten weeks. If time is tight for
you, please pay extra for expedited passport service. Please start the process online at:
http://www.travel.state.gov/passport.
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India Visa - Read the information about the visa process on the LN Groups Page. This is the area that
has most potential for delaying your trip. There are a lot of steps to this process, so be extra sure
you fill out your form correctly using the instructions provided. Get started online ASAP AFTER
October 1, 2013. You will need to have a passport before you start the Visa process.
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Money - Read the information about personal funds and procure Visa Travel Money Cards.
Travel Arrangements: Make your U.S. travel arrangements for the first semester – to get to and from our
northern California campus for the program. Keep in mind that airline tickets are cheaper when purchased
in advance – do this before December 1, 2013. LEAPNOW will make all international airline reservations
for you. Please do NOT make your Summer 2014 travel arrangements before February.
Immunizations: Get the required shots – see the list on the LN Groups Page. Don't delay this step – some
vaccinations are staged over time, and some people may have adverse reactions to these shots or boosters.
It is best to get these out of the way before the final stages of your preparations. Without proof of these
immunizations you will not be able to travel with your LEAPNOW group.
Academics & Financial Aid: You received instructions in the LEAPYEAR Acceptance and Registration
Packet about how to start the Financial Aid process for the LEAPYEAR program through Antioch
University Seattle. The next packet (Packet III - Academic and Mental Readiness) will include more
detailed information about LEAPYEAR coursework and how to get ready for your first quarter which is
Antioch’s Winter quarter.
Health Insurance: Provide us with proof that you are covered for medical expenses for the entire program
– abroad and in the U.S. You cannot do the program without proof of adequate medical coverage.
Paperwork: Forms to send to LEAPNOW Office. Complete the 3 pages of LEAPYEAR Paperwork
included with this packet. They are clearly marked with “LEAPYEAR “U” Group Paperwork Packet” at
the top of each page. Please fax in or send these forms to us by mail as soon as possible.
Pack your bags! Use the clothing and equipment lists on the LN Groups Page to pull together everything
you need.
LEAPYEAR 2014: Packet II—Logistical Preparation
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LEAPYEAR “U” Group Paperwork Packet - Page 1 of 3
Return to LEAPNOW ASAP by post, email or fax:
LEAPNOW, 11640 Highway 128, Calistoga, CA 94515 Fax: 707-431-8479
Please use the attached checklist to make sure that your paperwork is complete. Make copies of everything for
yourself, then send us the paperwork AND the checklist. (Please don’t neglect to make copies for yourself – it
is a drag for everyone if you have to re-create this list if the forms are lost in the mail!)
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Scan and email us a copy of your passport ASAP. Also scan and email a copy to yourself and your
family.
Complete all Paperwork including: Proof of Health Insurance, Travel, Email, & Dietary Information Form,
LEAPNOW Information Release Form, and Consent Form for Disclosure to Parents
Send us a copy of the forms which document that you are up to date with your immunizations: (Including
Typhoid, Hepatitis A, Tetanus/Diphtheria, Measles/MMR and Malaria Rx). Documentation might include
Vaccination Card, Immunization Record, prescription record, or a letter from your Doctor.
Provide LEAPNOW with details of your health insurance coverage for the duration of the program – either
photocopy your policy or fill out the form below:
PROOF OF HEALTH INSURANCE
Domestic Health Insurance
Your Name:
Social Security #
Name of Insurance Company:
______
Policy #
Effective Date of Coverage:
Duration of coverage:
Emergency Access number given to you by the company:
Address of Insurance Company:
International Health Insurance: How will you be covered while you are outside the United States
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Your domestic health insurance carrier covers you while travelling outside of the United States. You need
to send proof that of coverage abroad – usually a coverage plan or letter.
You will purchase international health and travel insurance through Global Vision Travel or another
insurance provider. You need to send proof of your purchased insurance and coverage details.
With my signature below, I affirm that I have adequate medical insurance coverage for the period of 01/08/14
through 08/13/14 and that it will cover me in the U.S. AND abroad. I understand that I am completely responsible
for any medical expenses incurred during the LEAPYEAR Program.
Student Signature:
Date:
LEAPYEAR 2014: Packet II—Logistical Preparation
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LEAPYEAR “U” Group Paperwork Packet - Page 2 of 3
Return to LEAPNOW ASAP by post, email or fax:
LEAPNOW, 11640 Highway 128, Calistoga, CA 94515 Fax: 707-431-8479
Travel, Email & Dietary Information Form
WINTER ARRIVAL INFORMATION:
I will arrive in northern California for the start of the program by (circle one): AIR / GROUND
 If by ground: I plan to arrive at the LEAPNOW campus by (time) __________ AM / PM on
January 8, 2014. (No later than 3 PM please)
 If by air: I will arrive at (circle one)
San Francisco(SFO) / Oakland (OAK) / Sonoma Co. Airport (STS)
I will arrive at (time) ________AM / PM, on (airline)_______________flight #__________ on
January 8, 2014. (No later than 1 PM for SFO or OAK and no later than 3PM for STS)
WINTER DEPARTURE INFORMATION:
I will depart LEAPNOW by (circle one): AIR / GROUND
 If by ground: I plan to leave the LEAPNOW campus by (time) ____________ AM / PM on
March 28, 2014. (between 8:30 AM & Noon)
 If by air: I depart from (circle one)
San Francisco / Oakland / Sonoma County Airport.
I will depart at (time) _______AM / PM, on (airline)_______________flight #_________ on
March 28, 2014. (No earlier than 10:30 AM please)
*Please contact our office with any special transportation needs.*
EMAIL:
My email address during the program will be:
_____________
DIETARY INFORMATION:
I have the following food limitations, allergies or special requirements:
____________________________________________________________________________________________
________
______________________________________________________________________
LEAPNOW Information Release Form
I understand that by enrolling Antioch University Seattle’s LEAPYEAR program I authorize the release of my
academic and financial information to LEAPNOW Staff & Faculty.
____________________________________________
Student Printed Name
____________________________________________
Student Signature
________________
Date
LEAPYEAR 2014: Packet II—Logistical Preparation
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LEAPYEAR “U” Group Paperwork Packet - Page 3 of 3
Return to LEAPNOW ASAP by post, email or fax:
LEAPNOW, 11640 Highway 128, Calistoga, CA 94515 Fax: 707-431-8479
Consent Form for Disclosure to Parents
To:
Registrar, Antioch University Seattle
From:
________________________________________________________________________________
Student’s First Name
Middle Initial
Last Name
_______________________________________________________________________________
Permanent Address
City
State
Zip Code
Under the Family Educational Rights and Privacy Act (FERPA), Antioch University Seattle is permitted to
disclose information from your education records to your parents if your parents (or one of your parents) claim you as a
dependent for federal tax purposes. Please indicate whether your parents claim you as a tax dependent.
Please check the appropriate box:
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Yes. I certify that my parents claim me as a dependent for federal income tax purposes.
No. I certify that my parents do not claim me as a dependent for federal income tax purposes
Signature: _______________________________________________ Date: ______________________________
If you are not claimed as a dependent or you do not know whether you are claimed as a dependent for federal
income tax purposes, but you agree that Antioch University Seattle may disclose information from your
education records to your parents, please sign the following consent:
I consent to the disclosure of any personally identifiable information from my education records to my parent(s),
for reasons determined by the Antioch University Seattle as appropriate. This authorization will remain in
effect for the 2014 academic year.*
Signature: _______________________________________________ Date: ______________________________
If parents live at the same address, please list both on the left below:
Name(s)
_______________________________________
Address
_______________________________________
City, State, Zip Code
______________________________________
Telephone
Name
Address
City, State, Zip Code
Telephone
*Students cannot be denied any educational services from Antioch University Seattle if they refuse to provide consent.