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DOWNLOAD THIS FORM DO NOT COMPLETE ON LINE WINTER TERM STUDY ABROAD PROGRAM APPLICATION I. Application InformationName (as it appears on your passport) _____________________________________________________________________________ (Last) (First) (M.I.) Local Address_______________________________________________________________________ (Number) (Street) (Apt. #) _____________________________________________________________________________ (City) (State) (Zip) Perm.
Address:_______________________________________________________________________
__________________________________________________________________________ (City) (State) (Zip) Local Phone (_____) ______-__________ Permanent Phone (_____) _ ___-__________ SU ID # ____________ Gender: ____Female ____Male Current Status: Junior Senior MBA (circle one) Birth date: _______________ E-mail _________________________________ Business
Major(s)___________________________________________(undergrads. list all that
apply) II. Application Essay: Answer the following question on a separate sheet(s) of paper and attach to application. Your response should be no longer than two double-spaced pages and the essay is evaluated at (25%) towards program acceptance and the scholarship competition.
Question: Describe how you believe participating in this program will affect
you academically, personally and professionally?
Turn in this completed application form, AND
essay by 4:30 p.m., by Friday,
September 29, 2005 to: Kristi
Horner, Student Services in HH-005, (mailbox on 1st floor Perdue
School of Business), Holloway Hall. For official use only. Do not write in this space.
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