FGCU Education Abroad Application
Please complete the application form below. Once submitted, next steps and important documents will be sent to your Eagle email address.
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First Name *
Last Name *
FGCU UIN # *
FGCU Eagle Email Address (all official communications will be via FGCU email) *
Date of Birth *
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DD
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Primary Phone  (xxx-xxx-xxxx) *
Your Name Exactly As It Appears On Passport (or Official Govt Issued I.D., including all middle names) *
What term do you plan on studying abroad? *
Which program provider organization will you participate with? *
If you selected other program provider not listed, what is the name of the provider
In what city is the program located?   *
In what country is the program located?   *
What is your major? *
Which category best describes you?   *
Do you receive any of the following:  
Clear selection
Are you an Honors College student? *
Do you have a passport? *
What is your passport number? (if you have one, if you don't have your number at the moment leave blank and send to mryan@fgcu.edu)
What is your passport expiration (validity) date?
MM
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DD
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YYYY
If not a US passport, what country issued your passport?
Emergency Contact #1: name *
Emergency Contact #1: phone number *
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