Study Abroad Interest Form

Last Name:
First Name:
Email Address:
   

Current Information

Current Street Address:
Current City:
Current State:
Current Zip:
Current Phone Number:

Permanent Information

Permanent Street Address:
Permanent City:
Permanent State:
Permanent Zip:
Permanent Phone Number:

Class Information

Current Class Standing:
GPA:
When do you expect to graduate? December   May   August  20
Major:
Minor:
Academic Advisor:

During which term would you like to Study Abroad? Aug - Dec   Jan - April   Summer  20
Country you are interested in:
Are you currently eligible to receive financial aid? Yes   No
How did you hear about Study Abroad at UIndy?
How did you learn of our internationalism before your attendance at University of Indianapolis?