Study Abroad Application Students applying for all Approved Study Abroad programs must submit this application and supporting documents no later then: March 1 - Fall programs (April 1st for Duquesne in Dublin) October 1 - Spring programs (If either date falls on a weekend, please submit by the Friday before) Contact Info First Name: DORI ID: Middle Name: Degree: Select Undergraduate Graduate Last Name: School: Select Business Education Health Sciences Law Leadership Liberal Arts Music Natural & Environmental Sciences Nursing Pharmacy Gender: Male Female Major: Local Phone #: Email Address: Cell #: Date of Birth (DD/MM/YYYY): Program Information I am applying for (Check one and fill in year): Fall 20 Spring 20 Academic Year 20 - 20 Program Provider (AIFS, IFSA-Butler, etc.): Program Name: City: Country: School Address Street: Box/Apt: City: State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming -- Other / Outside US Zip Code: Permanent Address Street: Box/Apt: City: State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming -- Other / Outside US Zip Code: Country (If outside US): Phone: Alt. Phone: Emergency Contacts Primary First Name: Home Phone: Last Name: Work Phone: Relationship: Cell Phone: Email: Second First Name: Home Phone: Last Name: Work Phone: Relationship: Cell Phone: Email: Academic Information Minor: Class Standing Abroad: Select Class Standing Freshman Sophomore Junior Senior GPA: Foreign Language Proficiency 1: Select Language Spanish French Italian German Japanese Chinese Arabic Level Select Level 100 200 300 Higher Foreign Language Proficiency 2: Select Language Spanish French Italian German Japanese Chinese Arabic Level Select Level 100 200 300 Higher Academic Advisor: Recommending Professor: Optional Information (for statistical reporting only) Ethnic Background: Select Native American/Alaskan Native Asian-American or Pacific Islander African-American Hispanic-American Caucasian/White, Not-Hispanic Multicultural Do Not Know How did you first hear about this study abroad program? Select Study Abroad Advisor/OIP Academic Advisor Peer/Alumni Faculty Website Campus Publicity Study Abroad Fair Other Application Checklist Please submit the following supporting documents to OIP by the deadlines: Academic Advisor Recommendation Faculty Recommendation Transcripts (must be official if applying to Ireland Study Center; all others can be printed from DORI) Study Abroad Course Approval Form Essay addressing the following (2 pages, double-spaced) Why you want to study abroad Why you chose this country/city/program What courses you plan to take abroad and how this experience compliments your academic and professional goals If you have selected to apply to a program that is NOT on our approved list: Submit an additional essay explaining why your program of choice better fits your academic goals then the approved programs. Also, you must submit a discription of the program as well as the program costs. Duquesne University In Dublin Applicants ONLY In addition to the application materials above, you will also need to submit the following by the deadline: UCD, Application Online (available at UCD-Online - apply as a "Visiting Student" and your Program will be "Study Abroad-major" you MUST apply to the school/program of which you are taking the majority of your classes, ie. Study Abroad-Business, Study Abroad-Arts etc.) Upload an Official Transcript and Copy of your passport (Our office can assist with this) Appointments to submit this application through our office can be made with Danielle Genemore via Starfish
