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Application for Participation in Study Abroad Exchange Programs

Application for Participation in Study Abroad Exchange Programs

PERSONAL INFORMATION

First Name *

(as it appears in your passport)

Middle Initial

Last Name *

(as it appears in your passport)

Student ID Number *

Year of expected graduation *

Current GPA *

Country of Citizenship

Mailing Address *

City *

State *

Zip *

Home Phone

**Example:123-456-7890

Cell Phone

**Example:123-456-7890

E-Mail address *

STUDY ABROAD INFORMATION

Name of Foreign University *

Country *

Term (fall/spring) *

**Example: Spring 2024, Fall 2024

Have you checked the offer of courses in foreign university? *

Yes

EMERGENCY CONTACT INFORMATION

Emergency Contact First Name

Emergency Contact Last Name

Relationship

E-Mail address

Phone

**Example: 123-456-7890

Emergency Contact Address

City

State

Zip

I certify that the above information is complete and accurate, and that I will notify Haub Law School of additional information or changes to the information provided in this application.

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Application for Participation in Study Abroad Exchange Programs