Intent to Study Abroad For Semester Long Programs

Academic Year 2013-2014


Instructions

  • Use this form for semester-long or academic year programs only. You should not submit this form if you are interested in faculty led short-term travel courses.
  • Please select program choices from the list below. Please make choices in order of priority (1st choice being highest priority).
  • If you wish to apply for separate programs in consecutive terms (i.e. one program Fall semester and a different program for Spring semester) please submit two forms listing 1st, 2nd and 3rd choices for each semester.
  • If you do not yet have a Pacific GPA please enter your high school / transfer GPA.
  • If you select the "Petition" program option you must in addition to submitting this form send an email to intlprograms@pacificu.edu clearly indicating your name and student id with information on your petition program. Please include your program name, provider name, destination and the total program cost.
  • Submit the form to Office of International Programs by Monday, November 26th, 2012 (the Monday after Thanksgiving holiday).
  • You will receive an email from the Office of International Programs confirming your program choices. This form does not replace an actual program application. Check out our program application page for more information.


Name:
 First:  * Last:  *
Student Info:
 Student ID:  * Current GPA:  *
Major:
 Major or Anticipated Major:  *
Class:
 Class standing:  *
Contact Info:
 Pacific Email:  *
Phone:  *
Advisor Name:
 First Name:  * Last Name:  *
Advisor Info:
 Email:  *
Phone:  *

Please choose your top three program choices

 *
1st Choice  *
2nd Choice  *
3rd Choice  *
 Fields marked with  * are required.

By submitting this form the student confirms his/her intent to study abroad during academic year 2013/2014 according to the selected program choices.