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Address Information



Exchanges & Study Abroad

Mourant 1st Floor
Mailstop: MO3
11120 Glacier Hwy
Juneau, AK99801

Phone: 907-796-6455
Toll-free UAS (days M-F) :
1-877-465-4827

Fax: 907-796-6543



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Exchanges and Study Abroad Home
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NSE Application

Please fill out all fields to the best of you ability. Fields marked with an "*" are required to promptly process your application.

CONTACT INFORMATION

*Student's Name:


(First, MI, Last)

*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:

*E-Mail:

Alternate Email:

*Student ID:

 

DEMOGRAPHIC INFORMATION

*Date of Birth

Gender:

Home Campus
State Resident:

Currently Living
on Home Campus:

U.S. Citizenship:

Canadian Citizenship:

Motive for Participation:

Access different courses/faculty

 

Evaluate graduate schools

 

Live in a different area

 

Personal growth

 

Participate in host's international program

 

Enter host's honors program

 

Exchange as a resident assistant

 

Language Study

 

Look for future employment

Other. Please specify in the following space.

 

SCHOLASTIC INFORMATION

Class Standing During Exchange:

*GPA: (on a 4.0 scale)

Major:

Need Major Classes:

Requesting Financial Aid From Host Campus:

Received Financial Aid This Term:

Want on Campus Housing:

First Time Placement:

Enrolled in Home Campus Honors Program:

 

EXCHANGE CHOICES

*Schools of Choice:

(Hold Control key and click to select multiple schools.)

*Academic Year:

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"" UAS is an AA/EO institution / Copyright 2005.
University of Alaska Southeast
11120 Glacier Hwy, Juneau, AK, 99801
877 465-4827 |