Academic Resources

Study Abroad Online Application

 
 
Please contact the International Studies office with any questions at
(716) 375-2574 begin_of_the_skype_highlighting            (716) 375-2574      end_of_the_skype_highlighting or asayegh@sbu.edu. 
 
 
I. CCIS PROGRAM INFORMATION: 
 
Program to which you are applying: 
 
Country:   
   
   
Program:   
   
   
Term/Year of Study:   
   
   
II. PERSONAL INFORMATION   
   
Last Name:   
   
   
First Name:  Middle Initial: 
   
   
Date of Birth:   
   
   
   
   
   
   
Sex (M/F)      
   
Where were you born?   
   
City:   
   
   
 State:   Country: 
   
   
Current Citizenship:  Passport Number: 
   
   
Current Mailing Address:   
   
Valid Until:   
   
   
Street Address:   
   
   
   
City:   
   
   
State:   Zip: 
   
   
Telephone Number:   
   
   
E-mail Address:   
   
   
Permanent Mailing Address:   
   
Street Address:   
   
   
   
City:   
   
   
State:  Zip: 
   
   
Telephone Number:   
   
   
E-mail Address:   
   
 
Emergency Contact Information (your Parent/Guardian): 
 
Last Name:   
   
   
First Name:   
   
   
Relationship:   
   
   
Street Address:   
   
   
   
City:   
   
   
State:  Zip: 
   
   
Telephone Number:   
   
   
E-mail Address:   
   
   
III. ACADEMIC INFORMATION   
   
Current Academic Status:   
 
Colleges or Universities Attended (For high school seniors, list name of high school):
 
First Institution: 
 
Institution:  Dates: 
   
 
Major:     Overall GPA:  Credits (completed) 
     
 
Credit Hours Earned By:                                       
    
 
Second Institution: 
 
 Institution:  Dates: 
   
 
Major:  Overall GPA:  Credits (completed) 
     
 
Credit Hours Earned By:   
    
 
IV. APPLICANT'S STATEMENT OF PURPOSE 
 
Write a concise statement of your proposed program of study and how it will be related to your present academic program. Also, describe the personal benefits you expect to receive from the program, and how you will incorporate this program into your future goals. Include any additional information that may be useful in evaluating your candidacy, including study, travel, or residence in other countries. This statement is required of all applicants and must be submitted with this application. It should be one page, double-spaced.
 
 
You may type your statement in any text editor and then paste it into the box below.
 
 
V. FINANCIAL AID INFORMATION 
 
Will you be applying for federal/state financial assistance?
      
If yes, please list:  
 
VI. CCIS INFORMATION SOURCE 
 
 
How did you hear about our study abroad program?
  
 
 
 I, the undersigned, acknowledge that I have read the CCIS Study Abroad Application and that all statements are correct to the best of my knowledge. In addition, I, the applicant, authorize the release of my transcript(s) and recommendations to the academic institutions involved in the program for which I have applied.