Fillable Study Abroad Application Study Abroad Application

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Study Abroad Application Study Abroad Application

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File type: PDF

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3)
International Education
STUDY ABROAD APPLICATION
(For Outgoing Students)
INSTRUCTIONS: In order to apply for a study abroad program, students must complete the following items:
1) Complete the application form.
Pay the non-refundable $30 application fee. (The $30 fee will be added to the student’s WSU account upon
receipt of the application form and can be paid through the myWSU student account suite under the myFinances
tab.)
2)
Submit the completed application form by email to
studyabroad@wichita.edu
or mail the form to the address
below, or bring it to the Garvey International Center.
ELIGIBILITY:
1) Applicants must be Wichita State University students in good academic standing.
2)
Students must have and maintain a minimum 2.5 GPA for most programs.
Undergraduate students must have completed a minimum of 30 credit hours and graduate students must have
completed a minimum of 12 graduate credit hours by the time of departure for most programs, except for some
faculty-led programs.
3)
All application forms must have student’s signature.
Study Abroad
International Education
Wichita State University
1845 Fairmount St
Wichita, KS 67260-0122
Priority Deadlines
Fall Semester February 15
th
Spring Semester September 15
th
Summer Semester Varies
Telephone: (316) 978-3232
Fax: (316) 978-3777
Website: www.wichita.edu/study abroad
Email: studyabroad@wichita.edu
International Education
Study Abroad Application
PERSONAL INFORMATION
ACADEMIC INFORMATION
PROGRAM INFORMATION
Full Name
Last Name First Name Middle (if any)
Telephone:
Primary e-mail: Alternate e-mail:
Current Mailing Address:
State:City:Apt/Suite: Zip code:
Desired Semester of Study:
Country or region of interest:
If known, university(ies) of interest:
If not an exchange program, name of program provider:
If not, on what country’s passport will you travel?
Will you be traveling on a U.S. passport?
Do you currently have a valid passport?
If not, when will you apply for one?
if so, please explain:
Expected Graduation Date:
Minor, if any:
Major(s):
Cumulative Overall GPA:
Have you ever been on academic probation?
1. Foreign language(s) studied:
2. Foreign language(s) studied:
Current level and years of language studied:
Current level and years of language studied:
Sophomore Junior Senior
Graduate
Spring Semester, 20___
Summer Semester, 20___ Fall Semester, 20___
Academic Year, 20___-20___
My WSU ID:
Date of Birth (mm/dd/yyyy):
Date of Birth (mm/dd/yyyy):
FINANCIAL AID
PREVIOUS OVERSEAS TRAVEL EXPERIENCE
PREVIOUS OVERSEAS STUDY EXPERIENCE
Yes
Yes
No
No
Country:
Dates Visited: From (mm/yyyy)
Program (if applicable) or purpose:
To (mm/yyyy)
Country:
Dates Visited: From (mm/yyyy)
Program (if applicable) or purpose:
To (mm/yyyy)
Name of U.S. institution or company directing program:
Country:
Name of foreign school or institution:
Dates Attended: From (mm/yyyy) To (mm/yyyy)
RELEASE INFORMATION
The collection, retention, and dissemination of your records and personal information is subject to the federal
regulations under the Family Education Rights and Privacy Act of 1974. It is therefore necessary to obtain your
premission to release information collected on the application, in your letters of recommendation, and in your
transcripts.
1) I hereby release information contained in my applications for admission and for study abroad, letters of
bearing on my application.
2) I also hereby release information contained in my application, letters of recommendation, and transcripts
to the overseas institution where I wish to be placed.
RELEASE FOR OFF CAMPUS STUDY
INDEBTEDNESS
SIGNATURE
Wichita State University does not make any warranties or guarantees of any kind, expressed or implied,
regarding any off-campus program in which a student may participate. The University assumes no responsibility
and disclaims any liability, damages, or injury suffered by any student by reason of the negligent or wrongful acts
or failure to act of any person or institution with whom the University may make arrangements for any
off-campus study program.
Failure to make full payment of all required fees or to resolve other debts to Wichita State University or the host
institution may result in the cancellation of pre-registration for the following semester, denial of registration until
University.
Students must register and pay regular tuition and fees for a full course load for semester long programs.
A minimum of 12 credit hours per semester for undergraduate students and 9 credit hours per semester
for Graduate Students. Summer and short-term programs will vary in regards to credit hours and costs.
If your study abroad credits will apply towards your current degree program at Wichita State University,
you may be eligible for Federal Student Financial Aid for these credits.
Please contact the Office of Financial Aid for more information.
IMPORTANT: I have read the above paragraphs and acknowledge that I understand them completely and
accurately. By signing below I acknowledge my agreement to be bound by their terms as a condition of my
participation in any off-campus programs sanctioned by Wichita State University. In addition, I verify that the
above information is true and complete.
Printed Name:
*Please print this application form and sign.
First Name
Applicant’s Signature
Last Name
Date
Study Abroad
International Education
Wichita State University
1845 Fairmount St
Wichita, KS 67260-0122
EMAIL A SCANNED COPY TO
Studyabroad@wichita.edu
Revised 12/2019
PLEASE RETURN YOUR APPLICATION TO:
OR
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Study Abroad Application Study Abroad Application

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Completed 28 February 2020

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