Part 1
Please select a program: *
Please select a session: *
Berlin to Rhodes: 12 Cities in 7 Weeks
Jun 01, 2012 - Jul 20, 2012
- Students enroll in 2, 3 or 4 courses (6, 9 or 12 credits)
- During the first 3 weeks students enroll in one or two courses, selected from Course List #1: one course from Section 01 and/or one course from Section 02
- During the following 4 weeks students enroll in one or two courses, selected from Course List #2: one course from Section 01 and/or one course from Section 02
Will you be taking the program at the undergraduate or graduate level? *
How many 3-credit courses do you plan to take? *
Please select courses: *
Loading courses information...
Auditing:
Courses may be taken for credit or as a non-credit audit. You may not audit an internship or an independent study. Are you planning to audit any of the courses you chose?
Please enter the name of the course(s) you are planning to audit:
APPLICANT INFORMATION
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| * First Name: |
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| * Last Name: |
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| * Date of Birth: |
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| Gender: |
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| * Address: |
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| * Phone: |
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| Skype: |
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| * E-mail: |
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| * Confirm your E-mail: |
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| * Alternative E-mail: |
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| * Country of Citizenship: |
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| Additional Country of Citizenship: |
If you have a second citizenship.
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| * Place of Birth, Town: |
Town/City where you were born.
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| * Place of Birth, Country: |
Country where you were born.
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ACADEMIC INFORMATION
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| * Name of College / University: |
If you are currently not attending college please enter last college attended.
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| * Country of College / University: |
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| * Degree Program currently enrolled in: |
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| * Current Classification: |
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| * Date of Graduation (Anticipated): |
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| * Major: |
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| Minor: |
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| * Cumulative Grade Point Average (GPA): |
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UNIVERSITY CONTACT INFORMATION
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| * Study Abroad Advisor or Director (Name / Title): |
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| * Office Telephone: |
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| * E-mail: |
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PERMANENT CONTACT INFORMATION
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| * Full Name of Parent or Guardian: |
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| * Relationship: |
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| * Home Telephone: |
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| * Emergency Telephone: |
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| * Business Telephone: |
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| * E-mail: |
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| * Street: |
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| * City: |
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| * State: |
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| * Zip / Postal Code: |
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ADDITIONAL REQUIRED INFORMATION
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| * Are you planning to use financial aid from your home institution toward the Forum-Nexus Study Abroad program? |
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| * Who should receive invoices and payment information? |
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| * Full Name: |
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| * I authorize Forum-Nexus Study Abroad to contact the person I note on this form in the case of an emergency. |
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| * I have been in contact with my home institution's study abroad office and I am aware of all relevant policies and procedures concerning credit transfer, financial aid, etc. |
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| * Signature: |
Type your full name
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| * Date: |
, 2012
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| Please enter any questions, comments or clarifications about your application here: |
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| * How did you hear about Forum-Nexus?: |
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| Your friend's name: |
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Part 2
This part of the application can be submitted with Part 1, or may be sent separately via email within one week of submitting Part 1. If sent separately, send to info@forum-nexus.com with the subject ONLINE APPLICATION
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ESSAY (mandatory)
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Please write an essay (between 500 and 1000 words) explaining your motivation for studying abroad and your reasons for selecting this specific program. Please include information about your personal and academic background and your previous exposure to international living and traveling, if any. How will this international experience contribute to your educational and career goals?
Please attach your essay as a document file (.doc extension) in the next field.
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| Essay Attachment: |
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RESUME (optional, but recommended)
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Please attach your updated resume as a document file (.doc extension) in the next field.
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| Resume Attachment: |
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