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Family Name: *
Given Name: *
Preferred Name: *
Address Line 1: *
Address Line 2:
Address Line 3:
Country: *
Phone:
(area code / phone number)
Birthdate: *
Month
January
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Day
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Year
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2003
Email: *
What is the highest level of education you have completed?
Please choose:
Secondary School Diploma/Leaving Certificate, but no College/University work
Some College/University work, but no College/University degree
Bachelor's Degree (or higher) from a College or University
Which semester are you interested in applying for?
Please choose:
Spring Semester(January) 2009
Summer Semester (June) 2009
Fall Semester (August) 2009
Citizenship
Please choose:
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas (GrBr)
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burma/Myanmar
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Empire
Chad
Chile
China
Colombia
Comoros Islands
Congo
Costa Rica
Cuba
Cyprus
Czech Republic
Denmark
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Dominican Republic
DR Congo
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Finland
France
Gabon
Gambia
Gaza Strip
Germany
Ghana
Greece
Grenada
Guam
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Guinea
Guinea-Bissau
Guyana
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Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Johnston Island
Jordan
Kazakhstan
Kenya
Kiribati (GILB)
Korea, Republic of
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Lichtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives, Republic of
Mali
Malta and Gozo
Mauritania
Mauritius
Mexico
Moldova
Monaco
Morocco
Mozambique
Namibia
Nauru
Nepal
Netherlands
Neutral Zone/S Arabia-Iraq
New Zealand
Nicaragua
Niger
Nigeria
Northern Mariana
Norway
Oman
Pakistan
Panama
Papua New Guinea
Paraguay
Peoples Dem Rep. Korea (North)
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Republic of Georgia
Romania
Russia
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Slovenia
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Somalia
South Africa
Spain
Sri Lanka
St. Christopher and Nevis
St. Lucia
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St. Pierre and Miquelon
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Sweden
Switzerland
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Ukraine
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USA
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West Bank
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Yemen (Sanaa)
Yugoslavia
Zaire
Zambia
Zimbabwe
What is your current status?
Please choose:
F1 Student Status
J1 Exchange Visitor
L2 Spouse/Child of Intracompany Transferee
B1 or B2 Tourist Status
Unknown Status
What is your desired status?
Please choose:
F1 Student Status
J1 Exchange Visitor
Intended Major:
Please choose:
Undecided/Undeclared
Accounting
Anthropology
Art
Art Education
Biology
Biology/Secondary Ed
Business Education
Chemistry - 2yr Engineer Transfer
Chemistry(BS Chemistry)
Chemistry(BA degree)
Chemistry/Dual Degree Engineer
Chemistry/Secondary Education
Computer Science
Criminology
Early Childhood Education
Earth Science/SecEducation
Economics (BBA)
Economics (BS)
Economics - Secondary Education
English
Enviromental Science
Environmental Studies
Finance
French
Geography
Geology - 2yr Engineering Transfer
Geology
Geology/Dual Degree Engineer
German
Global Studies
History
International Economic Affairs
Management
Management Information Systems
Marketing
Mass Communications
Mathematics
Middle Grades Education
Music - Performance
Music - Composition
Music - Business Studies
Music Education
Nursing
Parks & Recreation Mgt(Sport Mgt)
Philosophy
Physical Education
Physics
Physics - 2yr Engineer Transfer
Physics - Dual Degree Engineering
Physics - Secondary Education
Political Science
Pre-Engineering
Pre-Law
Pre-Med
Pre-Pharmacy
Psychology
Real Estate
Secondary Education - English
Secondary Education - French
Secondary Education - Mathematics
Secondary Education - Spanish
Sociology
Spanish
Special Education
Speech-Language Pathology
Theatre