The IUPUI Study Abroad Office produces a quarterly email newsletter informing students of what is happening with study abroad on campus.

Would you like to receive our Newsletter?
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IUPUI Student ID Number (campus assigned number, not social security number)

Name: (Last, First, Middle Init.)

Address:

City:

State:

Zip Code:

Phone:

Home
Cell
Work

E-mail:

Gender: (optional)
Male
Female

DOB: (mm,dd,yyyy)
(optional)

Ethnicity: (optional)

How did you here about the Study Abroad Office?:

What area of the world would you be most interested in as a study abroad opportunity? Why?

Indicate the length of the program that interests you:
Summer
Semester
Full Year

For what year?

Languages studied (indicate number of semesters):

Experience Abroad? (indicate where and how long):

What questions/comments do you have?:

In order to advise you appropriately about your study abroad interests we need information on your academic history. Please fill in the section below before submission.

Date you expect to graduate: (mm,dd,yyyy)

GPA:

What is your country of citizenship?
USA Other*

*If other, are you a U.S. permanent resident?
Yes No

Do you currently receive financial aid?
Yes No

If yes, are you eligible for a Pell Grant?
Yes No

Are you a transfer student to IUPUI?
Yes No

If yes, how many credits have you transferred in?

School/Division: (Example: School of Liberal Arts)

Major:

Minor:

Degree Objective:
Associate Bachelor Master Ph.D.

Current Class Standing:
Freshman Sophmore Junior Senior Graduate