Lawrence Jepson International Business and Economics

Student Study Abroad

Application Form

Name ______________________________________________________________________________

SS#______________________________________Student ID #________________________________

Campus Address______________________________________________

                          ______________________________________________

Campus Phone ______________________________ E-Mail ___________________________________

Home Address________________________________________________

                        ________________________________________________

Home Phone: _________________________________________________

Year in School ____________________________________ Hours Completed_____________________

Major ______________________Advisor _______________________________GPA _____________

Study Abroad Location ________________________________________________________________

                                    ________________________________________________________________

Starting Date and Duration of Program _____________________________________________________

Please provide:

    1. A photocopy of your latest transcript (doesn't have to be a certified copy).

    2. A brief essay addressing the following:

            A.) The anticipated educational, professional, and cultural benefits to you from this experience.

            B.) How this international program fits into your proposed plan of study at UNI, and how the program

                     will enhance this plan.

3. A photocopy of your travel itinerary with itemized travel expenses.  Include funding that has been received toward travel from other sources.

4. For applicants of semester long programs, attach you expected program of study for the study abroad semester.