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2010/2011 Forum-Nexus Application Form

Please fill out the following form to apply for a Forum-Nexus program. There is no application fee.
Fields marked with a (*) are required

Part 1

Please indicate the program you are applying for: *



Indicate in which Session you would like to participate: *

Will you be taking the program at the undergraduate or graduate level? *



How many 3-credit courses are you planning to take in the program? *




Please indicate the courses that you would like to enroll in: *

Discipline Course # Course Name

Intensive Courses:
(Two-week courses offered on a regular basis in most sessions)
Please select up to 5 Intensive Courses that you would consider taking

Discipline Course # Course Name

GENERAL APPLICANT INFORMATION
* Full Name:
* Date of Birth:
* Address:
* Phone:
* E-mail:
* confirm your E-mail:
Alternative E-mail:
* Country of Citizenship:

ACADEMIC INFORMATION
* Name of College / University:
If you are currently not attending college please enter last college attended.
* Degree Program currently enrolled in:
* Current Classification:
* Anticipated Date of Graduation: /
* Major:
* Minor:
* Cumulative Grade Point Average (GPA):

UNIVERSITY CONTACT INFORMATION
* Study Abroad Advisor or Director (Name / Title):
* Office Telephone (with Area Code):
* E-mail Address:

PERMANENT CONTACT INFORMATION
* (Parent/Guardian/Etc.) Full Name:
* Relationship:
* Home Telephone (with Area Code):
* Emergency Telephone (with Area Code):
* Business Telephone (with Area Code):
* E-mail Address:
* Street:
* City:
* State:
* Zip / Postal Code:
* Billing Telephone (with Area Code):
 

ADDITIONAL REQUIRED INFORMATION
* Are you planning to use financial aid from your home institution toward the Forum-Nexus Study Abroad program?
 
* Who should receive invoices and payment information?
 


 
* I authorize Forum-Nexus Study Abroad to contact the person I note on this form in the case of an emergency.
 
* I have been in contact with my home institution's study abroad and I am aware of all relevant policies and procedures concerning credit transfer, financial aid, etc.
 
 
* Signature:
Type your full name
* Date: , 2010
Please enter here any questions or comments you may have:
Feel free to add any comments or clarifications in this space.
* How did you hear about Forum-Nexus?:
 

Part 2


This part of the application can be submitted with Part 1 or it may be sent separately via email within one week of submitting Part 1. If sent separately send to info@forum-nexus.com and in the subject area write ONLINE APPLICATION

ESSAY (mandatory)

Please write an essay (minimum 500 words, maximum 1000) 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 do you think that this international experience will contribute to your educational and career goals?

Please attach your essay as a document file (.doc extension) in the next field.
Essay Attachment:

RESUME (optional, but recommended)
Please attach your updated resume as a document file (.doc extension) in the next field.
Resume Attachment:
 
Human Verification
 
   

Forum Nexus 2010. Contact information.