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Study Abroad

Home > CIP > Study Abroad > Online Request Form

Last Name:
First Name:
Middle Name:
Male	Female
Campus Address:
Perm Address:
City:
State:
Zip Code:
Parent's Name:
Tel:
Fax:
Email:	(Required)

Date of Birth:
MU ID #:
Major:
Minor:
GPA:
Faculty Advisor:

List the countries and universities where you would like to study abroad:

Semester and year when you plan to go abroad:

Year in school when you go abroad:

Freshman
Sophomore
Junior
Senior
Graduate

Do you have a passport? Yes No

Are you married? Yes No

Spouse's Name:

Do you receive financial aid? Yes No

What scholarships do you receive?

Are you an honors student? Yes No

What are some of the questions you would like to ask our study abroad advisor when you meet?

After submitting this form, you will receive an automated email with more information about study abroad. We will also email you to set up a meeting to discuss your study abroad plans. We look forward to working with you to make your study abroad dreams a reality.


	Marshall University - Center for International Programs Old Main 320 - One John Marshall Drive - Huntington, WV 25755 Tel: 304-696-6265 - Fax: 304-696-6353 - Email Us - Executive Director, Dr. Clark Egnor Copyright ©2003 Marshall University. All Rights Reserved. Read Site Disclaimer for more information.