Dual Degree Nomination Form

Dual Degree Nomination Form

Please help St. Edward's collect information regarding this Dual Degree nomination.

Nominating Institution*

Institution Address*

Primary Outbound Contact (Name)*

This is the contact SEU will use in communications regarding the students your university is sending to SEU in a dual degree prorgram.

Outbound Contact (email)*

Dual Degree Major*

Which undergraduate degree are your students pursuing for this dual degree?

Nominations

There are four nomination slots on this form. If you have more than four nominations from your university, please submit a second form.

First Nominee (Last Name)*

First Nominee (Given Name/First Name)*

First Nominee (new or returning)*

Select or enter value

First Nominee Gender*

Select or enter value

First Nominee Date of Birth*

First Nominee (email)*

First Nominee (length of stay)*

Select or enter value

Second Nominee (Last Name)

Second Nominee (First Name/Given Name)

Second Nominee (new or returning)

Select or enter value

Second Nominee Gender

Select or enter value

Second Nominee Date of Birth

Second Nominee(email)

Second Nominee (Length of Stay)

Select or enter value

Third Nominee (Last Name)

Third Nominee (First Name/Given Name)

Third Nominee (new or returning)

Select or enter value

Third Nominee Gender

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Third Nominee Date of Birth

Third Nominee (email)

Third Nominee (Length of stay)

Select or enter value

Fourth Nominee (Last Name)

Fourth Nominee (First Name/Given Name)

Fourth Nominee (new or returning)

Select or enter value

Fourth Nominee Gender

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Fourth Nominee Date of Birth

Fourth Nominee (email)

Fourth Nominee (Length of Stay)

The student will be issued an I-20 for the length of time they will pursue studies in America.

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Thank You for your Submission.

Your nomineees will receive an email with next steps. The outbound contact will be copied on the email.

ISS@stedwards.edu

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