Enroll for Culver-Stockton College Credit

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Please complete this form if you are attending one or more CELA Belize summer courses AND/OR one or more Loop Abroad internships and wish to enroll in credit from Culver-Stockton College in Missouri.

CELA courses are eligible for 3 credits as BIO489 courses. Internships are eligible for 1 credit per 40 hours of internship.

Email *

First Name *

Middle Name

Last Name *

Program

Internship (Loop Abroad or CELA Belize)

Tropical Marine Ecology (Belize)

Global Perspectives in Health (Belize)

Large Animal Veterinary Practice in the Tropics (Belize)

Widlife Health and Conservation (Belize)

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Date of Birth *

YYYY

Gender *

Ethnicity *

Street Address *

Street Address Line 2 (optional)

City

State *

Zip Code *

Country *

Email Address *

Phone Number *

Are you currently enrolled in a degree-granting institution?
*

Yes

Name of Home Institution (School granting your degree)

Home Institution Mailing Address (exact address to which the Official Transcript should be sent)

Degree

Option 1

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Major

Where should we send your transcript?

Option 1

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Terms and Conditions 1
*

I understand that all information in this form will be submitted to CELA Belize and Loop Abroad, and will be shared with Culver-Stockton College and/or my academic advisor as appropriate.

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Terms and Conditions 2 *

I agree and understand by typing my name below that all information above is correct and that I am the above student. My typed name below is my official electronic signature.

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Digital Signature

Submission of Payment

Please submit your payment for Culver-Stockton Credit here.

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