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A student in Spain

APSU Study-Abroad and Exchange Program Application

(e.g., Jonathan Timothy Smith, Jr.) This should be exactly how your names appear or will appear on your passport.
(This is your APSU Banner I.D. #. Please include "A" and the zeros that follow.)
"other" would include students who are attending another college (transient) or attending only one class or in between colleges (special status)
Are you considered "main" campus or Ft. Campbell?
(If a degree-seeking student)
Are you paying in-state tuition?
Please give your APSU email address. (Non APSU students may give their regular email address.)
Please give your preferred email address if different from the one above.
(Permanent, if different from the address above.)
(xxx) xxx-xxxx
If you gave a "permanent address," please list the number to that address.)
(xxx) xxx-xxxx
(Please type "don't have" if applicable.) If you do not have a passport, you will want to start the process as soon as possible. See our "Preparing to Depart" webpage for assistance.
If you are a U.S. citizen, please type simply "U.S."
2-digit month/2-digit day/4-digit year
you must have a 2.25 cumulative GPA
Do you have a formal or informal student code of conduct violation?
If yes, please explain.
(Please fill out an additional application form [Parts A & B] if you plan to attend more than one study-abroad/exchange program.) Art Appreciation and World Lit students: Please wait until Nov. 1 before applying. Trinidad: This is restricted to PELP and TRiO,SSS students.
ISEP or "other," please type the progam name and country
(What session are you applying for?)
For what academic year do you plan to go on a study-abroad/exchange program? (The summer of 2012 will be in the academic year of 2011/2012.)
(in case of an emergency)
What is that person's relationship to you? (e.g., mother)
(This would be the numbers for your next of kin [including area code]).
please list any allergies or medical conditions that you have. (Please type "none" if applicable)
Please list any medications that you are on and will still be on at the time of your trip. (Please type "none" if applicable.)
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