Kyoto, Japan Interest Form

NOTE: We are at capacity and wait listing students for our Japan program.

First Name:*

Last Name:*

Phone number (with area code): ex. (626)555-5555*

Email Address: ex. joe@domainname.com*

*double check your email is correct

Which college do you currently attend?*

Student ID Number (if applicable):

Please choose ONE of the boxes below

I have 2.5 GPA (or higher) and have completed about 12 units

My GPA is below 2.5 (this doesn't necessarily negate your participation)

I'm a currently enrolled first year student. I will take a progress report to my current instructors (we will email you the progress report).

I'm not a Citrus College student.

Why do you want to participate in the study abroad program?

How did you hear about the study abroad program?

Send me a copy of my responses