Learn about public health through traditional medicine and intercultural health practices, indigenous customs, community welfare, and social justice.
Learn about healthcare policies, politics, and delivery with a special emphasis on indigenous communities and traditional medicine.
Experience Chile’s health system firsthand with guided visits to public and private health centers and conversations with bio- and ethno-medical practitioners.
Examine national healthcare policies and intercultural and alternative healing in urban and rural Chile.
You will consider different concepts of health, disease, and wellness, including beliefs and health practices of the Aymara and Mapuche indigenous peoples.
Gain global perspectives from the program base in Arica.
Arica is historically home to indigenous peoples and ethnic communities of African descent, plus a wide array of immigrants from throughout Latin America and the world. Despite these communities’ shared geography, there are major differences in cultural worldviews, health practices, and equal and equitable access to health services. Given Arica’s strategic location on the borders of Peru and Bolivia, you will be able to examine healthcare from unique international perspectives. You will learn about cross-border issues and initiatives concerning health policy on topics including primary healthcare and infectious disease management (for example, HIV/AIDS and tuberculosis).
Learn from and engage with government, medical, academic and indigenous sources.
On this program, you will engage with Faculty members at the Universidad de Tarapacá, medical health professionals, national and local government health officials and policy makers, intercultural medicine practitioners, communities and health centers where traditional medicine is practiced, and local university students in urban and rural settings.
Conduct field study and learn public health research methods.
Learn how to collect, analyze, integrate, and report social and public health data to understand and assess public health and intercultural issues. Field studies may include designing a research project, writing a research proposal, interviewing, conducting surveys, and maintaining a field journal. Field study methods could include concepts and objectives of scientific research, basic techniques used in public health research, data collection and analysis, ethics of public health projects and research, and the World Learning / SIT Human Subjects Review Policy.
Choose to intern at a health facility, social, community or indigenous organization, nonprofit institution, or university or to conduct independent research.
Learn traditional medicine from shamans and traditional birth attendants.
Critical Global Issue of Study
Previous college-level coursework in public and/or global health, development studies, anthropology, community and/or social sciences, or other related fields. At least four recent semesters of college-level Spanish or equivalent, and the ability to comprehend (as assessed by SIT) coursework conducted entirely in Spanish (including lectures, seminars, active student participation, and all course reading and writing assignments).
Key Topics of Study
Key Topics of Study
- Chile’s national and indigenous healthcare systems
- The specific health needs and practices of indigenous populations
- Social, economic, political, structural, and ideological determinants of public health planning, practices, and outcomes
- Diversity of healing and spiritual beliefs
- Health of women, children, teenagers, the elderly, and other potentially vulnerable populations
- Public health, community participation, and community empowerment
The following syllabi are representative of this program. Because courses develop and change over time to take advantage of dynamic learning opportunities, actual course content will vary from term to term. The syllabi can be useful for students, faculty, and study abroad offices in assessing credit transfer. Read more about credit transfer.
- Public Health in Chile – syllabus
- (IPBH3000 / 3 credits / 45 hours)
- Through this interdisciplinary seminar, students examine theoretical and practical approaches to healthcare delivery in Chilean communities that include both urban and rural contexts. Students explore the relationship between public health, social justice, and community welfare; reproductive and sexual health; HIV/AIDS; mental health issues; and differences between national and private health systems. All coursework is conducted in Spanish.
- Traditional Medicine and Community Health – syllabus
- (IPBH3005 / 3 credits / 45 hours)
- In this second seminar, students learn about traditional healthcare practices in Chile and analyze the role of these practices in overall community health. The course focuses on the Mapuche and Aymara peoples in particular. Students explore these indigenous conceptualizations of health and healing, the connection between healing and spiritual beliefs, and indigenous cosmovisions. Intercultural health and challenges to “legitimizing” and “mainstreaming” traditional indigenous healthcare are studied. Disparities in healthcare access among diverse populations are also analyzed. All coursework is conducted in Spanish.
- Spanish for the Health Sciences I – syllabus
- (SPAN2003 / 3 credits / 45 hours)
- Spanish for the Health Sciences II – syllabus
- (SPAN2503 / 3 credits / 45 hours)
- Spanish for the Health Sciences III – syllabus
- (SPAN3003 / 3 credits / 45 hours)
- Spanish for the Health Sciences IV – syllabus
- (SPAN3503 / 3 credits / 45 hours)
- In this course, students hone their speaking, reading, and writing skills through classroom and field instruction. Students read professional health science literature as they learn the formal terms and local expressions needed to discuss health policy issues, to conduct field research, and to interact in settings (e.g., clinics and community health centers) related to the program themes. Students are placed in small classes based on an in-country evaluation that tests both written and oral proficiency.
- Public Health Research Methods and Ethics – syllabus
- (IPBH3500 / 3 credits / 45 hours)
- This research methods course is designed to prepare students for an Independent Study Project or internship. Through lectures, readings, and field activities, students study and practice a range of methods appropriate for researching health topics. They examine the ethical issues surrounding field research related to public health and are guided through the World Learning / SIT Human Subjects Review process, which forms a core component of the course. By the end of the course, students will have chosen a research topic or internship, selected appropriate methods, and written a solid proposal for an Independent Study Project or internship related to public health, traditional medicine, and community empowerment in Chile. All coursework is conducted in Spanish.
In addition to taking the above courses, students will also need to enroll in one of the following two courses:
- Internship and Seminar – syllabus
- (ITRN3000 / 4 credits / 120 hours)
- This seminar consists of a four-week internship with a health facility; a social, community, or indigenous organization; a nonprofit institution; or a university in Arica, Putre, Makewe, or Santiago. The aim of the internship is to enable the student to gain valuable work experience and to enhance their skills in an international work environment. Students will complete an internship and submit a paper in which they process their learning experience on the job, analyze an issue important to the organization, and/or design a socially responsible solution to a problem identified by the organization. The internship will be conducted in Spanish.
- Independent Study Project – syllabus
- (ISPR3000 / 4 credits / 120 hours)
- Conducted in Arica, Santiago, Valparaíso, Temuco, or other approved locations appropriate to the project, the Independent Study Project offers students the opportunity to conduct field research on a topic of their choice or perform a health practicum within the program's thematic parameters. The project integrates learning from the various components of the program, and culminates in a final presentation and formal research paper. Students may choose to incorporate a guided practicum experience into the project as well. Sample topic areas: women's health; community outreach; drug and alcohol treatment; traditional and intercultural health; Chilean health policy; AIDS treatment promotion and prevention policies; indigenous health practices; epidemiology; etc.
Please note that in order to take advantage of dynamic learning opportunities, program excursions may occasionally vary.
Educational excursions are an important component of this program and provide different contexts in which to examine healthcare delivery. Program excursions may include field visits to public health centers throughout Arica and the surrounding valleys, including community medical centers, hospitals, public health centers, rural health facilities, mental health centers, and women’s health centers.
Longer excursions include traveling to the rural area of Putre in the high plains (altiplano), where the Aymara people of Chile originate, and Temuco in southern Chile, home to the indigenous Mapuche nation.
Putre (northern Chile)
During a seven-day excursion to the Chilean highlands you will study the health practices and beliefs of the Aymara people. You will see a rural health system, Chile’s intercultural health practices, alternative medicine, and the Aymara cosmovision. You will also experience northern Chile’s impressive natural beauty at Chungara Lake, Lauca National Park, and the Lauca Biosphere Reserve.
Temuco/Makewe (Mapuche Territory)
On this 10-day excursion you will visit a Chilean intercultural hospital in the town of Makewe outside the city of Temuco, and you will explore health beliefs and practices of the Mapuche people and access to alternative methods of healthcare. You will debate multiculturalism in relation to healthcare, and you will have the opportunity to learn how healthcare policies and politics directly affect indigenous people and contribute to discrimination and social marginalization. You will also have the opportunity to see the region’s beautiful volcanoes, valleys, and forests.
During a five-day visit to the capital, you will visit the Chilean Ministry of Health, speak with national health policymakers, and visit organizations striving to improve access to healthcare for marginalized and vulnerable populations. You will also get a close look at the work of community-based and advocacy groups focusing on the rights of indigenous migrants to urban areas, including the Aymara, Mapuche, and Rapa Nui peoples.
Faculty and Staff
Faculty and Staff
Daniel Poblete, PhD, Interim Academic Director
Daniel received his doctorate in social anthropology, with a specialization in cultural diversity and citizenship, at the Complutense University of Madrid and has completed postdoctoral studies in social anthropology at the Center for Research and Graduate Studies in Social Anthropology in Mexico City. His professional focus is on cultural recognition associated with the study of intercultural and multicultural issues, including traditional medicine and indigenous health systems, in Chile and throughout Latin America. A native of Santiago, he has worked for more than 15 years on issues related to indigenous populations in vulnerable situations, especially in northern Chile, in the region of Arica and Parinacota and Tarapacá, and has conducted ethnographic work in northern and southern Chile and internationally in the Ecuadorian Andes and with groups of Ecuadorian migrants in Madrid.
Norma Contreras, Student Services Coordinator
Norma holds a professional degree in administrative management from the University of Tarapacá in Arica. She has been with SIT since 2013 and is responsible for arranging and monitoring student homestays as well as the overall care of student health and personal needs. Previously, Norma and her family were a homestay family for SIT students.
Pedro Arriagada, MA, Language Coordinator
Pedro holds a master’s degree in teaching English as a foreign language in higher education and a bachelor’s degree in education from the Universidad de Tarapacá. His studies focused on linguistics and the role of motivation in second language acquisition. He has worked as a teacher at Universidad Arturo Prat and Universidad de Tarapacá’s Academia de Inglés. Pedro has worked with SIT since 2011.
Faculty and lecturers may include:
Fresia Caba Burgos, PhD, MPH
Fresia received her doctorate in public health with a specialization in epidemiology from Mexico’s National Institute of Public Health. She also holds a master’s degree in public health from the University of Chile, degrees in biological sciences and health management from Galilee College in Israel, and degrees in epidemiology and qualitative methods. She has more than 20 years’ experience teaching undergraduate and graduate students at the University of Chile, the University of Tarapacá, and the University of Santiago.
Roxana Gálvez, MS
Roxana completed a BA at the University of Tarapacá in midwifery, obstetrics, and neonatology. She also holds a degree in logistical management and has a postgraduate degree in HIV/AIDS education. In 2000, she joined the Health Service of Arica, directing HIV/AIDS prevention projects. In 2001, she joined the Dr. Juan Noé Hospital as the head midwife in charge of the Center of Sexually Transmitted Diseases (presently UNACESS), a position she holds today. She coordinated the regional working group of HIV/AIDS advisors from 2000 to 2006 and is still an integral member of that committee.
Patricia Huber, MD, MPH
Patricia studied medicine at the University of Concepción and completed postgraduate work in public health at the University of Chile. She also holds a master’s degree in epidemiology and occupational health from the University of Chile and a certificate in social management and public policy from the Faculty of Social Sciences in Chile. She is medical director at the Arica center of the TELETON Foundation. Between 2005 and 2008, she led the Health Service of Arica’s Epidemiology Unit and later headed the Department of Information in Health and Production Services for Health.
Ester López, PS, SW, MHR
Ester is head of the Mental Health Unit of the Health Service of Arica, in charge of mental health teams and community psychiatry. She has a degree in social work from the University of Valparaíso and a degree in psychology from the University of Tarapacá. She also holds certification in rationalist mental psychotherapy from the Institute of Mental Therapy of Santiago. She graduated with a certificate in family mediation from the Technological University of Chile, and she holds a master’s degree in human resources management from the University Arturo Prat and the University of Valparaíso.
Rodrigo Valencia Severino, MPH, MBA
Rodrigo works in the Department for Coordination of Medical Networks in the Arica Municipal Health Services. He has a bachelor’s degree in nursing from the University of Valparaíso and a master’s degree in public health with a concentration in public health promotion from the University of Chile’s School of Public Health. He received an MBA from the University del Mar in the management of public health centers and institutions. He also holds a master’s degree in participatory management and healthy communities from the Complutense University of Madrid. He has experience teaching in the primary pedagogy in education and preschool programs at the University of Tarapacá.
The homestay is an integral part of the SIT experience. During your homestay, you’ll become a member of a local family, sharing meals with them, joining them for special occasions, talking with them in their language, and experiencing the host country through their eyes. Homestay placements are arranged by a local coordinator who carefully screens and approves each family. Students frequently cite the homestay as the highlight of their program. Read more about SIT homestays.
During your time in Chile, you will have the opportunity to live with three homestay families who can offer insight into the relationship between families, health, and well-being. You will deepen and challenge your emerging understanding of family and community in three different sites, comparing urban mestizo to rural indigenous communities, thus allowing you to form a more comprehensive understanding of each.
Host families come from different social and cultural backgrounds. You will typically enjoy breakfast and lunch with them, and on weekends you may enjoy sharing family activities together, which could include birthday, anniversary, or other family celebrations.
Homestay locations will include the following:
Urban Homestay in Arica
You will stay for seven weeks with a carefully selected family in a residential neighborhood of Arica.
Rural Homestay in Putre
During your second homestay, for six days with an Aymara family in high-altitude Putre, you will be able to participate in daily activities typical of this small, slow-paced town while learning about traditional medicine practices from such community leaders as shamans and traditional birth attendants.
Rural Homestay in Makewe
The six-day homestay in the rural village of Makewe, near the city of Temuco, is with an indigenous Mapuche family. You will share in daily community life, which might include farming, animal care, or meal preparation. All homestays are in the immediate vicinity of the Mapuche Intercultural Hospital, and health-related activities are common.
Independent Study Project
Independent Study Project
Conducted in Arica, Santiago, Valparaíso, Temuco, or other approved locations appropriate to the project, the Independent Study Project offers you an opportunity to conduct field research on a topic of your choice. You may also choose to incorporate a guided practicum experience into the project.
Sample topic areas:
- Women’s and children’s health
- Community outreach
- Drug and alcohol treatment
- Traditional and intercultural health
- Sexual and reproductive health
- Chilean health policy
- Mental health
- HIV/AIDS treatment and prevention policies
- Indigenous health practices
- Infectious and chronic disease conditions
- Social, economic, political, structural, and ideological determinants of health
If you choose to complete an internship during the last four weeks of this program, you will be placed with a local organization to gain work experience related to the program’s theme and to develop professional skills you can use in your career. SIT internships are hands-on and reflective. In addition to completing the internship, you will submit a paper about your learning experience on the job and analyzing an issue important to the organization you worked with. You may also design a socially responsible solution to a problem identified by the organization.
Interning in Chile
The internship on this program may be completed at a health facility; a social, community, or indigenous organization; a nonprofit institution; a university; or another institution. SIT works with organizations that are well known in the fields of health, indigenous affairs, community development, and Chilean politics.
During your internship, you will do work assigned to you by the organization. You will also investigate problems the organization faces and possible solutions to them. Each institution will designate a mentor to guide your work so that your internship is relevant to the mission and vision of the organization and to the context and needs of the country.
Topics and placements vary according to need and availability at our partner institutions, but examples of internships include:
- Working in intercultural health, health of indigenous peoples, and sexually transmitted diseases among indigenous populations at Red Nacional de Pueblos Originarios (RENPO)
- Assisting efforts in public health advocacy, health education, primary health care, maternal and child health, chronic care at Red de Centros de Salud Familiar (CESFAM)
- Providing education and rehabilitation for children with physical and developmental disabilities at Teletón
- Providing intercultural bilingual education and promoting intercultural health at a private school in Chol Chol (Mapuche territory)
- Assisting social, artistic, and physical therapy for patients with Parkinson’s and Huntington’s disease at Centro de Estudios de Trastornos del Movimiento
A wide range of students participate in this program, representing different colleges, universities, and majors. Many of them have gone on to pursue academic or professional work that connects back to their experience abroad with SIT. Recent positions held by alumni of this program include:
- MD/MPH student at the University of Miami’s Miller School of Medicine, Miami, FL
- Bilingual agricultural safety educator at the New York Center for Agricultural Medicine and Health, New York, NY
- Medical student at the University of Southern California’s Keck School of Medicine, Los Angeles, CA
- Member of the healthcare reform team at Planned Parenthood of Northern New England
- Maternal health birth doula through AmeriCorps at Sea Mar Community Health Centers, Seattle, WA
This information is provided to assist you in identifying possible accessibility barriers and preparing for an accessible educational experience with SIT Study Abroad. You should be aware that while in-country conditions and resources vary by site, every effort is made to work collaboratively with qualified individuals to facilitate disability-related accommodation. Students with disabilities are encouraged to contact SIT Disability Services at firstname.lastname@example.org for additional information related to access abroad and to discuss possible accommodations.
During the coursework phase of the program, you will generally be in class four to six days per week for two to four hours per day. You will have one break per class. Learning is typically assessed through written assignments, oral presentations/exams, individual assignments, and group assignments. Course readings and in-class materials are typically available in a digital format.
If you have questions about alternate format materials, testing accommodations, or other academic accommodations, you are encouraged to contact the Office of Disability Services as early as possible.
The SIT program office is in a single-level house located in a residential neighborhood. The computer space, student lounge, and two restrooms are located on the ground level. The building entrance has a door measuring at least 32 in. (82 cm.) wide. Classrooms are located at partner universities and are either in the style of a typical lecture hall (arena seating) or in rooms with individual student desks. The above spaces are located on the ground floor of their respective buildings and have a minimum of five to six entrance steps.
Program excursions include field visits to public health centers throughout Arica and the surrounding valleys. Multiday excursions include traveling to the rural area of Putre in the high plains (altiplano) and Temuco in southern Chile. Excursions include visits to a national park and a biosphere reserve. You should expect to stand, walk, and hike for long periods of time. A pair of comfortable, rubber-soled, waterproof trekking shoes is recommended. To take advantage of dynamic learning opportunities, program excursions may occasionally vary.
The program’s homestay coordinator will be responsible for placing you in your homestays. These placements are made based, first, on health concerns, including any allergies or dietary needs, to the extent possible. Urban homestays offer regular access to Wi-Fi, cellular service, electricity to charge devices, and refrigerators to store medication. Access to telephones and/or internet in rural homestays and excursions may be limited. Accessible homestay options are currently available but limited. If you have questions about homestay accessibility, you are encouraged to contact the Office of Disability Services as early as possible.
The “typical” diet in Chile is based on rice, beans, sauces, pasta, soups, fish, bread, meat (beef, poultry), vegetables, and fruit. Throughout the urban areas of Chile, citizens enjoy a varied and cosmopolitan diet, with few surprises for the student. The diet in rural regions may be more uniform. Like in many other Latin American countries, the largest meal is usually eaten in the middle of the day. Vegetarian, vegan, and gluten-free diets are entirely possible to accommodate. In Chile, you can look for items with the gluten-free certificate and logo. In some locations, it may not be possible to guarantee zero exposure to certain foods or a given allergen. For students who keep kosher, placement with a Jewish homestay family may be possible but cannot be guaranteed; however, dietary restrictions will definitely be accommodated. All dietary needs and concerns will be taken into consideration during all homestays, both urban and rural.
SIT Study Abroad works with students, program staff, homestay families, home colleges and universities, and others to accommodate dietary needs whenever possible. For more information on dietary needs and dietary preferences, please review the Student Support section of the Student Health, Safety, and Support web page.
General routes of travel have limited accessibility. You will typically travel between your homestay, classes, and/or placement sites either by walking (five to fifteen minutes) or by local bus or collective taxi (ten to fifteen minutes). Private buses are contracted for transportation during local site visits and excursions. Buses are not equipped with wheelchair lifts or ramps and have limited room to stand or stretch.
You are advised to bring your own academic technology, including laptops, recording devices, flash drives, and assistive technology. It is also recommended that you fully insure your electronic property against loss or theft. The program center and all host family houses have Wi-Fi service. Convenient computer access at internet cafés in Arica is available on occasion, for a fee. Unfortunately, it is not possible to rent a laptop locally.
If you have questions about assistive technology, note-taking accommodations, or other academic accommodations, you are encouraged to contact the Office of Disability Services as early as possible.
The program has a standing relationship with medical doctors and psychologists for any services needed during the program. Adequate medical services can be found throughout Chile, including Valparaíso, Viña del Mar, Temuco, Putre, and Arica. The recommended emergency care center in Viña del Mar is the Clinica Reñaca (where the program’s bilingual doctor works), and in Valparaíso it’s the Hospital Van Buren. In Arica, the private clinic, LifeMed, and private San Jose Hospital are affiliated with the program and are near all homestay locations. Prescriptions written by local doctors and over-the-counter medicines are widely available. Payment for medical services is covered by your health insurance if the provider is notified prior to or during the medical service.
Chile is seismically active; earth tremors are a common occurrence. Program staff will discuss safety tips and instructions in orientation.
Students with a history of asthma or allergies should be warned that air pollution, particularly in urban settings, is steadily worsening, resulting in an increasing incidence of respiratory illness. However, this is not a problem in Arica.
Admitted students are encouraged to discuss any questions or concerns about accessing health services or medication while abroad during the health review process. Read more about the health review process and the summary of benefits for student health insurance.
Requesting Disability-Related Accommodations
To request disability-related accommodations, admitted students should contact the Office of Disability Services. For more information about the accommodation process, documentation guidelines and a link to the accommodation request form, please visit the Office of Disability Services website.
Students with disabilities are encouraged to contact Disability Services at email@example.com or 802 258-3390 as early as possible for information and support.
Additional Support Resources
MIUSA (Mobility International USA) is a cross-disability organization serving those with cognitive, hearing, learning, mental health, physical, systemic, vision, and other disabilities. It offers numerous resources for persons with disabilities who wish to study abroad and/or engage in international development opportunities.
Abroad with Disabilities (AWD) is a Michigan nonprofit organization founded in 2015 with the goal of promoting the belief that persons with disabilities can and should go abroad. AWD works diligently to empower clients to pursue study, work, volunteer, and/or internship opportunities outside of the United States by creating dialogue, sharing resources, and spreading awareness.
Cost and Scholarships
Cost and Scholarships
SIT Study Abroad is committed to making international education accessible to all students. Scholarship awards generally range from $500 to $5,000 for semester programs and $500 to $3,000 for summer programs. This year, SIT will award more than $1.5 million in scholarships and grants to SIT Study Abroad students.
SIT Pell Grant Match Award. SIT Study Abroad provides matching grants to students receiving Federal Pell Grant funding for the term during which they are studying with SIT. This award can be applied to any SIT program. Qualified students must complete the scholarship portion of their application. View all SIT Study Abroad scholarships.
The tuition fee covers the following program components:
- Cost of all lecturers who provide instruction to students in:
- Health, society, and culture
- Public health, community welfare, and social justice
- Chilean public health policies
- Alternative health practices
- Public Health Research Methods and Ethics course and Human Subjects Review
- Intensive language instruction in Spanish (with a focus on medical Spanish)
- All educational excursions to locations such as Tacna, Santiago, and Temuco (Mapuche region)
- Independent Study Project / internship (including a stipend for accommodation and food)
- Health insurance throughout the entire program period
Room & Board: $4,475
The room and board fee covers the following program components:
- All accommodations during the entire program period. This includes during orientation, time in the program base (Arica), on all excursions, during the Independent Study Project / internship, and during the final evaluation period. Accommodation is covered either by SIT Study Abroad directly, through a stipend provided to each student, or through the homestay.
- All homestays (seven weeks in Arica, six days in Putre, and six days in Makewe, plus an optional rural homestay during the Independent Study Project / internship period, depending on the student’s ISP topic / internship site)
- All meals for the entire program period. Meals are covered either by SIT Study Abroad directly, through a stipend, or through the homestay.
Estimated Additional Costs:
Airfare to Program Site
Airline pricing can vary greatly due to the volatility of airline industry pricing, flight availability, and specific flexibility/restrictions on the type of ticket purchased. Students may choose to take advantage of frequent flyer or other airline awards available to them, which could significantly lower their travel costs.
Visa Expenses: $200
Books & Supplies: $ 50
International Phone: Each student must bring a smart phone that is able to accept a local SIM card with them to their program, or they must purchase a smart phone locally.
Personal expenses during the program vary based on individual spending habits and budgets. While all meals and accommodations are covered in the room and board fee, incidentals and personal transportation costs differ depending on the non-program-related interests and pursuits of each student. To learn more about personal budgeting, we recommend speaking with alumni who participated in a program in your region. See a full list of our alumni contacts. Please note that free time to pursue non-program-related activities is limited.
Please Note: Fees and additional expenses are based on all known circumstances at the time of calculation. Due to the unique nature of our programs and the economics of host countries, SIT reserves the right to change its fees or additional expenses without notice.
In order to make study abroad more accessible, SIT's partner colleges and universities may charge home school tuition fees for their students participating on an SIT Study Abroad program. If your institution has an agreement with SIT and charges fees different from those assessed by SIT, please contact your study abroad advisor for more details. The SIT published price is the cost to direct enroll in the SIT program. Tuition fees may vary for students based on your home college's or university's billing policies with SIT.