Study Abroad Information Request

Name*
First Last
WLU ID #*
Campus/Home Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Campus Email or most frequently used*
Enter Email Confirm Email
Cell Phone or most frequently used*
Major and Minor:*
Please list specialization if any.
GPA (OVERALL):*
Faculty Advisor:
Have you studied abroad before?
If yes, where and when.
Where would you like to study? (List the city and country)
If you are not sure, OK to leave blank
Do you plan to do an internship?
If yes, what type of experience do you want?
Do you currently receive any financial aid, scholarships or grants?*
If yes, please all forms of financial assistance below.
Financial Assistance currently receiving*
Are you currently a member of the WLU Honors College?*
Name
This field is for validation purposes and should be left unchanged.