This form will inform the Study Abroad office of your interest in studying abroad.  It is not an application to study abroad, but is a necessary first step in the process towards spending a semester, year, or summer abroad.  Please answer all the questions below to the best of your ability.

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Name: Date: Student ID# Home Phone #  Enter a valid phone number. Example: 123-456-7890 Cell Phone #  Enter a valid phone number. Example: 123-456-7890 Email Address:  Enter a valid email address. Example: name@company.com Major (and Minor, if applicable): Name of Advisor: Class FR SO JR SR GPA: Why do you want to study abroad? In what country would you like to study abroad? Select a CountryAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua And BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia And HerzegowinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote D'IvoireCroatia (Local Name: Hrvatska)CubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard And Mc Donald IslandsHoly See (Vatican City State)HondurasHong KongHungaryIcel AndIndiaIndonesiaIran (Islamic Republic Of)IraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, Dem People'S RepublicKorea, Republic OfKuwaitKyrgyzstanLao People'S Dem RepublicLatviaLebanonLesothoLiberiaLibyan Arab JamahiriyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated StatesMoldova, Republic OfMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands Ant IllesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSaint K Itts And NevisSaint LuciaSaint Vincent, The GrenadinesSamoaSan MarinoSao Tome And PrincipeSaudi ArabiaSenegalSeychellesSierra LeoneSingaporeSlovakia (Slovak Republic)SloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia , S Sandwich Is.SpainSri LankaSt. HelenaSt. Pierre And MiquelonSudanSurinameSvalbard, Jan Mayen IslandsSw AzilandSwedenSwitzerlandSyrian Arab RepublicTaiwanTajikistanTanzania, United Republic OfThailandTogoTokelauTongaTrinidad And TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Is.UruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands (British)Virgin Islands (U.S.)Wallis And Futuna IslandsWestern SaharaYemenYugoslaviaZaireZambiaZimbabwe If you have not determined a specific country in which you would like to study, which region of the world are you interested in? (i.e. Africa, Asia, Central/South America, Europe, Middle East, North America, or Oceania) During which term do you intend to study abroad? (Fall, Spring, and/or Summer of what year?)

DEADLINE FOR ALL PROGRAM MATERIALS IS NOVEMBER 15 FOR SPRING PROGRAMS AND APRIL 15 FOR FALL/SUMMER PROGRAMS

(A late fee of $100 will apply to all completed applications received after this date)

• Students studying abroad through the PLNU Office of International Studies are eligible for state and federal loans/grants.
• PLNU financial aid does NOT apply towards study abroad expenses EXCEPT when the program is required by the student’s major.
• Grades earned studying abroad appear on PLNU transcripts but are NOT calculated in students’ cumulative GPA
• The PLNU administrative fee for study abroad is $400 for semester programs & $200 for summer
• For more study abroad info, you can visit our website at www.ptloma.edu/Centers/IntlStudies/