Please fill out this online version or you can download our Inquiry Form.

Date:

When do you want to Study Abroad? Select One Fall 2012Spring 2012Summer 2012Fall 2013Spring 2013

How long do you want to stay?  One SemesterOne SummerOne Year

Personal Information

Check One:   Male   Female

Name:
Street Address 1:
Street Address 2:
City:
State:
Zip/Postal Code:
Country:
Phone Number:
Email Address:

Where do you want to study? (Limit 4 countries per request):   
What subject(s) do you want to study:
Do you currently receive financial aid?   Yes  No

Please check all that apply:
  I am a US citizen
  I am requesting financial aid for Study Abroad
  I am a Florida Atlantic University student

  I am not a Florida Atlantic University student
  I am a Bright Futures student
  I am a Florida Pre-paid student

I am a student at
I am a FreshmanSophomoreJuniorSeniorGraduate Student
Do you have Florida residency and pay in-state tuition?   Yes   No
What foreign language(s) other than English do you speak?

What is your major?
How many credits do you have?         What is your GPA?
Do you attend classes at the Boca Raton Main campus?   Yes   No

Forms are processed in the order they are received and usually take up to 2 weeks to complete.  You will be contacted at the telephone number provided above when your packet is ready.

Additional comments/suggestions?