Study Abroad Application

Study Abroad Application

Fees and Passport

Upon acceptance, an application/deposit fee is required for all ASU programs. Do you agree to the terms?*

Yes

Program Location*

Program Subject or Discipline *

Program Start Date*

Do you have a passport?*

Yes

Passport Number*

Prefix on your Passport*

Select or enter value

First Name on your Passport*

Middle Name/Initial on your Passport

Last Name on your Passport*

Suffix on your Passport

Passport Expiration Date*

Passport Issued Date

Student Information

Prefix*

Select or enter value

First Name*

Middle Name/Initial

Last Name*

Suffix

RAM ID:*

Ex. 900xxxxxx

Date of Birth*

Gender*

Select or enter value

Gender Details*

Please specify gender details

Ethnicity*

(Race)

Select or enter value

Shirt Size*

Select

Student Contact Information

University Email*

Confirm Email Address*

Alternate Email

Confirm Alternate Email

Primary Phone Number*

Alternate Phone Number

Local Address

Street Address*

Do you live on campus?*

Select

Campus Location

(Building and office or room number)

City*

State / Province / Region*

Georgia

ZIP / Postal Code*

Country*

United States

Permanent Address

Street Address Line 1*

Street Address Line 2

(or Campus Location, including Building and office or room number)

City*

State / Province / Region*

Georgia

ZIP / Postal Code*

Country*

United States

Academic Information

GPA

#.##

Minor

Major

Academic Advisor Information

Prefix*

Select or enter value

First Name*

Last Name*

Suffix

Advisor's Phone Number*

Advisor's Email*

Confirm Advisor's Email*

Were you referred by any ASU Study Abroad Alumni?*

Yes

Alumni Name*

(First & Last Name)

Semester and Course Selection

Maximum 3000 characters

Physician Information

Prefix*

Dr.

First Name*

Last Name*

Suffix

Physician's Phone Number*