Truman Study Abroad Application

Truman Study Abroad Program Information
  • CCIS
  • CIEE
  • Faculty Led
  • Internship
  • Semester at Sea
  • Exchange
  • Other:
Program Term:
       

Session Dates: (mm/dd/yyyy)
to    
Personal Information
Last Name:
First Name:
Middle Initial:
Are you currently enrolled at Truman?
Yes No
Will you be enrolled in other hours at Truman during the same term as the Study Abroad Program?
Yes No
Truman Student ID Number:
(Non-Truman student will be assigned a Truman ID)
Gender:
Male Female
Date of Birth:
(mm/dd/yyyy)
Ethnicity:
(For statistical purposes only)
U.S. Citizen:
(If no, list citizenship status)
Yes No
Do you have a passport?
Yes No
In Process
If no, please obtain a passport application from a post office to begin the process immediately. Issuance can at times take 2 to 3 months......................

Current Address:
Valid Until: (mm/dd/yyyy)       
Permanent Address:
(If different from above)
Street:
Street:
City:
City:
State:
State:
Zip:
Zip:
Email Address:

Phone Number:
Alternate Email Address:

Alternate Phone Number:
Emergency Contact:
Last Name
Street:
First Name:
City:
Middle Initial:
State:
Relationship:
Zip:
Home Phone:
Cell Phone:
Email:
Academic Information
Major:
Minor:
Minor:
Class Standing:
Expected Graduation:
(mm/dd/yyyy)
Cumulative Earned Hours:
Cumulative GPA:
Advisor's Name:
Email:
Phone:
Academic References
Reference One:
Reference Two:
Name:
Name:
Department:
Department:
Email:
Email:
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. Please make your statement of purpose 300-500 words.

(Maximum characters: 3000)
You have characters left.
Student Permissions and Statement May the Center for International Education/Study Abroad (CIE) at Truman State University release your name and e-mail address to other present and potential study abroad participants?        Yes No
May the Center for International Education/Study Abroad (CIE) at Truman State University release information to the person listed as your emergency contact if necessary?        Yes No

Upon submission of this form I certify that the information contained in this application is complete and correct to the best of my knowledge. I understand that any action taken on this application is contingent upon review of my grades until the time of departure for the program. I further understand that if I incur a disciplinary sanction prior to my departure overseas, this may result in the withdrawal of support for my program of study. I understand that the application process may include supplementary materials that I agree to complete promptly. If accepted, I will participate in all required orientations and complete all evaluations. I authorize the Center for International Education/Study Abroad (CIE) to forward my transcript to the overseas program to which I am applying if required by the host institution. I authorize the International Study Office to release any information deemed relevant to my health and/or safety.