India Study Abroad Application

First Name *

Last Name *

FPU student ID *

Birthdate *

Month

Day

Year

Campus Address *

Home Address *

Email Address *

Cell Phone/local number *

Home phone *

I have a valid passport *

Yes

No

Full name as printed on passport *

Present class standing as of September 2018 *

Freshman

Sophomore

Junior

Senior

Planned or declared major *

Minor or second major

Write a statement which clearly explains why you are interested in going on the FPU study abroad program to India *

Describe a cross-cultural or service experience that you have participated in and what it taught you about service *

Describe your spiritual readiness for an intensive service and learning trip such as this. *

Agreement *

Yes

No

All participants must register for the FPU-in-India courses in Fall 2016 for a minimum of 7 units. Please indicate that you agree with the following: "I understand that I am expected to register for the FPU-in-India courses for a minimum of 7 units in Fall 2016. I further understand that if I do not do so my account will be charged an additional $2000 to cover the costs of the FPU-in-India trip.

References

In addition to submitting this application please have two persons, a spiritual leader/pastor and a faculty member, fill-out and submit a reference on your behalf. Give them the FPU-in-India reference link: https://www.surveymonkey.com/r/FZ52RSM.

Additional questions or comments

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