FGCU Eagle Email Address (all official communications will be via FGCU email) *
Your answer
Date of Birth *
MM
/
DD
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YYYY
Primary Phone (xxx-xxx-xxxx) (To be used for Study Abroad office only) *
Your answer
Your Name Exactly As It Appears On Passport (or Official Govt Issued I.D., including all middle names) *
Your answer
What term do you plan on studying abroad? *
What is your expected graduation semester and date
(Example: Fall / Spring/ Summer /2027)
*
Your answer
Which program provider organization will you participate with? *
If you selected other program provider not listed, what is the name of the provider
Your answer
In what city is the program located?
(If unknown at this time enter N/A)
*
Your answer
In what country is the program located? (If unknown at this time enter N/A) *
Your answer
What is your major? *
Your answer
Which category best describes you? This information is only for Study Abroad Office data collection only and will not be attached in anyway to any personal information provided. *
What is your passport number? (if you have one, if you don't have your number at the moment leave blank and send to Carey Fells cfells@fgcu.edu before your departure)
Your answer
What is your passport expiration (validity) date? IMPORTANT:(Traveler passports must be valid 6 months after your expected return date to the United States)
MM
/
DD
/
YYYY
If not a US passport, what country issued your passport?