1. Name:
2. Email Address:
3. Year in School:  FR SO JR SR Grad
4. GPA:  4.0-3.75 3.75-3.25 3.25-2.75 below 2.75
5. What is your anticipated graduation date (mo/day/yr)?
6. Are you a US citizen? yes no
7. Where do you want to study abroad (Region or Country)?
8. Do you prefer a larger city or a smaller town?
9. Why do you want to study abroad? What do you want to accomplish?
1. Learn about another culture
2. Prepare for graduate school
3. Opportunity for travel
4. Enhance my education
5. Improve language skills
6. Increase job opportunities
7. Meet new people
8. Other: 
10. In which subject areas do you need/want to take courses:
1. Major(s):
2. Minor(s):
3. General/core requirements:
11. Which, if any, languages are you proficient in?
12. For what length of time do you want to go abroad?
1. Year
2. Semester
3. Summer
4. Other
13. Do you have a housing preference?
1. Host family
2. Residence hall
3. Student housing
4. Independent
14. Will dependents be going with you? yes no
15. How important is the cost factor in going abroad?
1. Extremely important
2. Somewhat important
3. Not important

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