Mandatory Preliminary Application

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Mandatory Preliminary Application

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Contact Information

Full Name

Preferred Email Address

Phone

UAS Student ID#

Academic Information

I have completed the admissions process

YesNo

I am a UAS degree-seeking student

YesNo

I am studying full-time this semester

YesNo

I have UAS academic history

YesNo

16-24 UAS credits

I have any incompletes (I) on my transcript

YesNo

I am on academic probation

YesNo

I have debts outstanding to UAS

YesNo

I am currently under campus disciplinary action

YesNo

I have been convicted of a felony

YesNo

I am on probation, parole, or have a legal judgment(s) pending against me on or off campus

YesNo

I receive Financial Aid (loans, grants, and / or scholarships)

YesNo

Degree and Credit Information

Number of UAS credits completed

Number of UAS credits in progress

UAS Degree Program

Minor, if applicable

Class Status

Expected Graduation Date

Cumulative UAS GPA

Academic Advisor

Study Away Inquiry

Program interest

National (NSE)International

Choose one or both.

Do you have foreign language knowledge and / or training?

YesNo

What are two reasons for wanting to participate in the Study Away program?

What is your academic goal for participating in the Study Away program?

What are your concerns about participating in the Study Away program?

Do you have a specific location in mind?

If participating in NSE, do you intend on transferring afterwards?

YesNo

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University of Alaska Southeast

11066 Auke Lake Way
Juneau, AK 99801

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