Online Application | Study Abroad | Utah Tech University

Personal Information

First Name: *

Last Name: *

Dmail: *

Personal Email

Date of Birth *

Phone: *

Current Address *

Current Address

City

State/Province

Zip/Postal

Gender *

Male

Female

Citizenship *

T-shirt size (men's sizing)

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 * Name of Desired Study Abroad/Exchange Program

Specify Program Location

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. *

Emergency Contact Information

Contact's Name: *

Contact's Phone: *

Contact's Email: *

Relationship: * Relationship:

Contact's Address *

Contact's Address

City

State/Province

Zip/Postal

Academic Information

Are you currently attending Utah Tech University? *

Yes

No

Digital ID

Student Status: *

Student Status:

Major: *

Cumulative GPA: *

Semester/year you last attended UT:

International Experience

Have you ever lived, traveled, or studied in another country: *

Yes

No

Please describe:

Foreign Langage 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 $35 non-refundable Study Abroad Application Fee. Your application is not fully submitted until you receive confirmation of payment.