Study Abroad Initial Application - Section I

Dear Student -

Please complete Section I of MMC’s Study Abroad Application form below.

* Note: deadlines for initial application submission are as follows:

Jan term and Spring semester - November 1st

Summer sessions and Fall semester - April 1st

* Note: there are several sections of the full Study Abroad application, and this section initiates your application as well as starts the eligibility verification process. Following verification and approval to continue application you will be working with the Study Abroad Coordinator, Academic Adviser, and Faculty Advisor to complete the remaining sections to finalize Study Abroad program plan as well as receive course pre-approvals.

Following completion of this form you will receive an email notification to review and sign a copy of your submission to be processed for Study Abroad registration.

All fields marked with asterisk (*) are required.

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Section I: Applicant & Program Information

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Student First Name*

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Student Last Name*

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Student MMC email address*

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Student ID*

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Major(s)*

*To select multiple majors, hold down the Command key while making your selection.

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Minor(s) if applicable

*To select multiple minors, hold down the Command key while making your selection.

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Home Address*

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Local Address (if different)

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Cell Phone*

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Home Phone*

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Study Abroad Program Information

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Proposed Study Abroad Term*

Fall semester

Spring semester

Jan term

Summer session

Full Academic year

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Year of Study Abroad Participation*

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Program Location (City & Country)*

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Host Institution for Study Abroad Program (e.g. University/College)*

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Program Sponsor (e.g. University or Consortium)*

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Program Representative Contact Information*

*Include program rep name, title, phone, and email address

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Acknowledgement

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Please Review and Accept Terms of Agreement*

1. I accept sole responsibility for registering for Study Abroad-related courses.

2. I understand that I may neither audit any courses nor take any courses during Study Abroad on a pass/fail basis.

3. I understand that all courses in my Study Abroad program WILL be entered on my MMC transcript.

4. I understand that all the grades I earn as a result of studying abroad (including any 'F's) WILL be calculated into my MMC grade point average.

5. I accept sole responsibility for having my official transcript from the Study Abroad program sent directly to MMC (Registrar's Office) immediately upon completion of the program.

6. I understand that failure to do so or any delay in doing so may result in my ineligibility to register or to receive financial aid for the semester(s) subsequent to my completion of the Study Abroad program.

7. An audit of my remaining degree requirements has been explained to me and I understand how the Study Abroad courses will affect my progress towards completing my degree.

8. I agree to be held liable for any tuition and fees incurred by my registration with the Study Abroad program.

9. I authorize my enrollment as a Study Abroad student

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Student Assumption of Risk, Waiver, and Release

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