Student Study Abroad Application

Application for Students

Name (First and Last)

Student ID Number

UVA Wise Email

Phone Number

Address

City/Town

State/Province

ZIP/Postal Code

Academic Level

Major/Minor Field of Study:

Citizenship(s)

Have you traveled outside of the United States?

Where have you visited?

Have you ever been found responsible for an offense by UVA Wise Student Conduct or Honor Court?

I give permission to the International Programs and Services Office to verify my GPA, academic, and disciplinary standing.

Desired study abroad country and/or program

Term for study abroad experience

Why do you want to study abroad?

What makes you a good candidate to study abroad?

How will this experience relate to your academic and personal goals?

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