Summer 2025 - Iceland

Summer 2025 (exact dates to be determined)
Please complete this form to express interest in the faculty-led trip to Iceland.

Personal Information

Merrimack ID*

First Name*

Last Name*

Merrimack Email Address*

Emergency Contact Name*

Emergency Contact Phone*

Emergency Contact Email*

Passport Information

Note: Your passport must be valid for six months from your date of departure. If you do not have a valid passport, please consult the information on this page an apply for a new passport or renewal as soon as possible.

Do you have a valid passport?*

Yes

No

Citizenship*

Passport Number*

Passport Expiration Date*

Please upload a copy of the bio page of your passport

Academic Information

Class Standing*

Anticipated Graduation Semester*

Anticipated Graduation Year*

Academic Advisor Name*

Do you have any questions about the trip to Iceland? (optional)

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Summer 2025 - Iceland