HOST Registration - Third Year Students

Once you register, you will hear from us shortly. If you have any additional questions, please email them to hsalumni@pitt.edu. Please fill out the questions below to help us provide the best match. While we cannot guarantee a host to meet all of your selections, we will do our best.

First Name: Required Field

Last Name: Required Field

Preferred Class Year: Required Field

Primary E-mail: Required Field

Phone Number: Required Field

Specialty of interest: Required Field

By registering, I acknowledge and agree to the following:

DISCLAIMER AND WAIVER OF LIABILITY: (a) PITT/UPSOM’s sole role is to connect students and alumni (“Participants”) for the limited purposes of the Help Our Students Travel (HOST) program; (b) PITT/UPSOM is not responsible for any Participant’s costs or expenses related to or incurred due to participation in the program (e.g., travel, accommodation, meals, etc.) and travel insurance is recommended; (c) PITT/UPSOM does not supervise, manage, or control the communications or ensuing interactions between students and alumni; (d) Participation in the HOST program is voluntary and is not a condition of matriculation for students nor will it have an effect on alumni status; and (e) IN EXCHANGE FOR AND BY PARTICIPATING IN, THE HOST PROGRAM, EACH PARTICIPANT, ON BEHALF OF THEMSELVES, THEIR HEIRS AND ASSIGNS, AGREE TO ASSUME THE RISKS INVOLVED IN THE HOST PROGRAM AND HOLD HARMLESS PITT/UPSOM AND ITS OFFICERS, DIRECTORS, FACULTY AND STAFF FOR ALL EXPENSES, COSTS, LOSSES, INJURIES, OR DAMAGES (INCLUDING ATTORNEY’S FEES) RELATED TO PERSONAL INJURY OR PROPERTY DAMAGE THAT STUDENTS, ALUMNI, OR ANY OTHER INDIVIDUAL MAY INCUR OR SUFFER IN CONNECTION WITH OR ARISING FROM PARTICIPATING IN THE HOST PROGRAM. Required Field

Participant Initial Here: Required Field