HomeStudy AbroadOnline Application Study Abroad Online Application Study Abroad Application Personal Information First Name: * Last Name: * Student Email: * Personal Email: Phone: * Gender: * Male Female Citizenship: * AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongoCosta RicaCôte d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceFrench GuianaFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayNorthern Mariana IslandsOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe T-shirt size (men's sizing): XSSMLXLXXL I will be at least 18 years of age at the time of departure. * Yes No Do you have a valid passport? * Yes No, but I have applied for one. No, but I will have a passport six weeks prior to departure. If your passport expires within 6 months of the end of your program, you MUST renew your passport prior to departure. Reason for Interest Name of Desired Study Abroad/Exchange Program: * ArgentinaAustria & GermanyBrazilBristolChinaCosta RicaExchange ProgramIcelandItaly & GreeceGreeceLondon, Paris, and AmsterdamMexico EHUM/ENGLSouth AfricaSpainSTEM in SpainThailandUgandaUSAC Semester Program*USAC Summer Program*Other Name of Desired Study Abroad/Exchange Program: Specify Program Location: I meet the minimum GPA requirement for this program. * Yes No Exchange Type: * Fall Semester Spring Semester Summer Semester Full Year Year: * How did you learn about this study abroad program? Check all that apply: Word of Mouth Flyer on Campus Email OtherOther Please describe in a personal statement how the program suits your academic and personal goals. * Academic Information Are you currently attending Utah Tech University? * Yes No Digital ID: Example: D00123456 Student Status: * FreshmanSophomoreJuniorSeniorGraduateOther Student Status: Major: * Semester/year you last attended UT: International Experience Have you ever lived, traveled, or studied in another country? * Yes No Please describe: Foreign Language Experience Please list the highest college-level courses you will have taken (if any) prior to the beginning of the program: Language(s): Course Number(s): How do you intend to pay for the trip? Check all that apply: Personal Funds Scholarships Fundraising Other May the Office of International Programs release your name to other participants? * Yes No I certify that all statements made on this application are entirely true and accurate. * I agree Signature Clear After clicking submit you will be directed to the payment portal in order to pay the non-refundable $35 Study Abroad Application Fee. Your application is not fully submitted until you receive confirmation of payment. New Program Acceptance and Deposit Process If you are accepted into the study abroad program, your student account will be charged a non-refundable $300 deposit that counts towards the cost of your trip. This will secure your spot on the study abroad program. You will have two weeks to pay the $300 deposit. If you do not pay off the $300 charge, a hold will be put on your student account, and you may be unable to register for classes. If you are human, leave this field blank.
