Short-Term Study Away Program May 2021
If you are interested in applying for an upcoming faculty-led study away program, please fill out the information below. Once received, your application will be reviewed by the Study Away office and by the faculty leader of the respective academic department. Once reviewed, notification of a decision regarding program acceptance will be sent via email. Please note: If you are a faculty/staff/or community member and don't have the information needed to fill out the form, please put "0" in the field(s). Thanks for your cooperation
Email address *
Which short-term/ summer program are you interested in? *
First and Last Name *
Your answer
Student ID# If none, please put 0
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Cell Phone Number *
Your answer
Home Phone Number *
Your answer
Current Class (Based on Credits) *
GPA If none, please put "0"
Your answer
Major(s) If none, please put "0" *
Your answer
Minors(s)
Your answer
Will this be your first 'international travel' experience? *
Do you have a valid passport? Passports must be valid until 12/20/2021. Please note: This will not affect your candidacy *
Do you have a disability that will require accommodations while abroad? (If you do not disclose your disability and/or request accommodations until abroad, Aquinas College may not be able to assess and accommodate your needs) *
Are you registered with the Counseling Center?(If yes, by signing this form, you authorize the Director of International Programs to contact the Counseling Center regarding your application and to discuss your candidacy) *
Next
Never submit passwords through Google Forms.
This form was created inside of Aquinas College. Report Abuse