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STUDENT ACKNOWLEGEMENT FORM

Overview

Thank you for your interest in the trip to Accra, Ghana. From 7/5/2025 to 7/13/2025, College of Medicine students will collaborate with University of Ghana Medical School (UGMS) students and faculty to provide patient care in underserved communities. This experience will foster cross-cultural medical learning, enhance clinical skills in resource-limited settings, and strengthen partnerships between Fertitta College of Medicine and UGMS. Students will work alongside local health care professionals to address community health needs while gaining valuable insights into global health challenges and solutions.

University of Ghana
University of Ghana Medical School

Each participating student is required to review and acknowledge their responsibilities in preparation for the trip.

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Ghana Trip: Frequently Asked Questions

Who is going to book travel?

  • The College of Medicine will book the travel (contact to be determined)

How much do I have to pay?

  • The total cost is $2750; however, the College of Medicine will cover $500. Therefore, you will be responsible for $2,250.
  • Please note that this will paid in two phases.
    • Phase 1: The initial deposit of $250 is due on April 18, 2025 at 11:59 P.M.
    • Phase 2: The remaining balance of $2,000 is due on May 2, 2025 at 11:59 P.M. For flexibility and convenience, options to pay the $2,000 balance are available in the following formats:
    • Option 1: a single payment of $2,000
    • Option 2: two payments of $1,000
    • Important: the full, remaining $2,000 balance is due on May 2, 2025, regardless of the option chosen.

What does this cover?

  • This will cover your plane ticket, housing, ground transportation, and some meals.

What is not covered?

  • You will be responsible for paying for incidentals, travel insurance, some meals, pre-trip vaccinations / medications / testing, and personal items.

What if I can no longer go after submitting a payment?

  • The $250 deposit is non-refundable. Whether you receive an additional refund will depend on the circumstances of your withdrawal and airline policies.

What steps do I need to complete to reserve my spot on the trip?

Steps

Due Date

Submit $250 non-refundable deposit

4/18/2025

Submit forms for Payment Works and Concur

5/2/2025

Complete UH forms (you will receive instructions from Learning Abroad)

  • Faculty-Led Travel Acknowledgment
  • Image Release Authorization
  • Passport Information
  • Release and Indemnification Form 
  • Student Conduct Abroad Form 
  • Voluntary Health Disclosure Form

5/2/2025

Submit remaining $2,000 trip fee

5/2/2025

Questions? Please contact Dr. Adepoju: oadepoju@central.uh.edu.

Payment Processing

Deposit - Due April 18, 2025

Pay the initial $250.00 deposit by clicking the button below.

Single-Pay - Due May 2, 2025

Pay the remaining $2,000.00 balance in a single payment using the button below.

Two-Pay - Due May 2, 2025

Pay the $2,000.00 balance in two payments of $1,000.00 using the button below. Use this button for each of the two payments.

Partner Payment Plan

Esteemed partners outside of the College of Medicine play a valued role in fulfilling our Ghana goals. Use the button below to pay $2,750.00 trip fees.