Application for January Term in Greece

We request that you fill out this form in its entirety. It will ask you to write essays, provide information for two references, and attach a copy of your transcript.

Please fill out the application completely before you click on the "Submit" button at the end of the form. The system will not save incomplete applications.

About you...

First Name *

Last Name *

Gender

Date of Birth

Country of Citizenship

Passport-issuing country

(Leave this and following two fields blank ONLY if you do not currently have a valid passport. Please bear in mind that your passport should be valid for at least six months after your planned date of departure from Greece.)

Passport number

Passport expiration date

Permanent address

(Street, City, State, Zip)

Phone number

(Please provide the number where we can reach you. If you have a cell phone, provide that number.)

E-mail address *

About your academic experience...

Institution

Student ID

Campus address

Expected year of graduation

Concentration or major

Current cumulative grade point average

Grade point average in your concentration or major

About your experiences abroad...

Have you ever traveled abroad? If so, please tell us where you traveled and in what context (for example, on a family vacation or a travel-study program). Describe briefly (in under 500 words) what you gained from that experience. *

Have you studied or do you speak languages other than English? If so, tell us what they are and your level of proficiency in each.

The Program

What about this program specifically interests you? What do you hope to gain from it and how would this experience contribute to your academic plan of study? *

If you have any physical conditions or health concerns that may affect your participation in this program, please describe them briefly.

Reference 1

We ask that you provide us with the contact information for two faculty members who can speak to your academic work. Please fill in the following information for your two recommenders.

Name *

Position and Department

E-mail address *

Reference 2

Name *

Position and Department

E-mail address *

Attachments

If you are a student, please upload a PDF copy of your transcript. If you are no longer a student, please submit a PDF copy of your CV. *

Application for January Term in Greece

About you...

About your academic experience...

About your experiences abroad...

The Program

Reference 1

Reference 2

Attachments

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