Exchanges and Study Abroad Applications | University of Alaska Southeast

Contact Information

First Name

Middle Initial

Last Name

Current Address

Please include a full address with state or province as well as zip or postal code.

Permanent Address

Please include a full address with state or province as well as zip or postal code.

Current Phone

Permanent Phone

Alternate Phone

Alternate Email

Student ID

Exchange Choices

School Choice 1

School Choice 1 Plan

School Choice 1 Housing

School Choice 2

School Choice 2 Plan

School Choice 2 Housing

School Choice 3

School Choice 3 Plan

School Choice 3 Housing

School Choice 4

School Choice 4 Plan

School Choice 4 Housing

School Choice 5

School Choice 5 Plan

School Choice 5 Housing

Academic Year

Other Considerations

Have you ever been convicted of a felony?

YesNo

Are you on probation, parole, or have any legal judgements pending against you either inside or outside campus?

YesNo

If yes, please explain

Are you currently under any campus disciplinary action for violation of codes of academic or student conduct?

YesNo

If yes, please explain

Do you have any outstanding indebtedness to the campus?

YesNo

Emergency Contact

Name

Relationship

Address

Please include a full address with state or province as well as zip or postal code.

Phone

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NSE Application