Full Name:
Student ID Number:
Email Address:
Phone:
UAS Degree and Major:
Class Status:SelectSelectFreshmanSophomoreJuniorSenior
Are you:part-timefull-time
Expected Grad. Date:
Faculty Advisor:
Cumulative GPA:
Financial Aid (Planned/Current):
Foreign Language Training:
Program:Select Exchange ProgramSelect Exchange ProgramNational Student Exchange (NSE)International Student Exchange Program (ISEP)AHA International (NCSA)AustraLearnAsiaLearnEuroLearnSemester at SeaOther/Unknown
Proposed Semester Start:SemesterSemesterFallSpring
Proposed Year Start:
Please complete questions below if interested in the National Student Exchange Program, otherwise leave blank.
What are the three reasons which will determine your participation in NSE?:
What is your academic goal for participating in the NSE program?:
If you participate in NSE, are you planning on transfering after your exchange?:yesno
If yes, please explain why you will transfer.:
Please complete questions below if interested in the study abroad programs, otherwise leave blank.
What are the THREE reasons which will determine your decision to study abroad?:
Where would you like to study? (countries):
What are your specific academic goals for your study abroad experience?:
What are your interests while abroad? (general study, language immersion, internship, service learning, personal travel):
Other Comments/Questions:
