Request Information on Study Abroad at IUPUI

As a starting point for exploring study abroad opportunities, please complete and submit this form. A Study Abroad staff member will contact you to assist in finding a suitable study abroad program.

Personal Information

IUPUI Student ID Number Campus assigned number, NOT your social security number

Name (Last, First, Middle Init.)

Address

City

State

Zip Code

Phone

Phone Type Home
Cell
Work

Preferred E-mail

Date of Birth mm,dd,yyyy, optional

Gender optional Male Female

What is your country of citizenship? USA Other*

*If other, are you a U.S. permanent resident? Yes No

Ethnicity optional

Studying Abroad

What area of the world would you be most interested in as a study abroad opportunity? Why?

Indicate the length of the program that interests you Summer Semester Full Year

For what year?

Languages studied indicate number of semesters

Experience Abroad? indicate where and how long

Academic History

In order to advise you appropriately about your study abroad interests we need information on your academic history. Please fill in the section below before submission.

University/College (example: Indiana University)

Campus N/A Indiana University Bloomington Indiana University Columbus Indiana University East Indiana University-Purdue University Fort Wayne Indiana University-Purdue University Indianapolis Indiana University Kokomo Indiana University Northwest Indiana University South Bend Indiana University Southeast

Date you expect to graduate mm, yyyy

GPA

Do you currently receive financial aid? Yes No

If yes, are you eligible for a Pell Grant? Yes No

Are you a transfer student to IUPUI? Yes No

If yes, how many credits have you transferred in?

School (example: School of Liberal Arts)

Major

Minor

Degree Objective Associate Bachelor Master Ph.D.

Current Class Standing Freshman Sophmore Junior Senior Graduate

Additional Information

Would you like to receive our Newsletter? The IUPUI Study Abroad Office produces a monthly email newsletter informing students of what is happening with study abroad on campus. (Please select "No" if you already receive this newsletter.) Yes No

How did you hear about the Study Abroad Office?

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