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Northwest Missouri State University


Inquiry Form

Today's Date:
Student (S) Number:

Contact Information

First Name:
Last Name:
Date of Birth: (MM/DD/YYYY)
Local/Campus Address:
City:
State:
Zip Code:
Local Phone Number:
Northwest Email Address:

Academic Information

Current Class Status:
Cumulative GPA:
Major(s):
Minor(s):

Study Abroad Information

List the countries that you might like to study in: 1.
2.
3.
When are you interested in studying abroad?
(check all that apply)
Spring 2014
Summer 2014
Fall 2015
Spring 2015
Summer 2015
What subjects are you interested in studying while abroad?
(check all that apply)
Courses for your major
Courses for your minor
General Education requirements
Language courses
Not sure
Foreign language study:
      High School Languages:
      How many years?
      College Languages:
      Number of semesters?
Would you like to:
      Receive information about the countries listed above by mail
      Schedule an appointment to speak with Study Abroad staff

Additional notes or information: