GEP Application Form

University of Illinois at Springfield
Study Away Programs
Application Form

required1. Please check the appropriate box:

required1. Please check the appropriate box:

 

 

required4. Are you a UIS student

required4. Are you a UIS student

 

 

If you are a student, complete questions 7 - 10 (skip if not a student)

If you are a student, complete questions 7 - 10 (skip if not a student)

 

 

 

 

Program to which you are applying:

required11. Which program are you applying for?

required11. Which program are you applying for?

 

 

14. A) If you are applying for a UIS short-term study program are you intending to enroll for credit?

14. A) If you are applying for a UIS short-term study program are you intending to enroll for credit?

 

 

 

 

Contact Information

 

 

 

 

 

 

 

 

 

 

Emergency Contact Person Information: Complete questions 30 - 36.

Emergency Contact Person Information: Complete questions 30 - 36.

 

 

 

 

 

 

 

Travel Related Information 

Travel Related Information 

 

 

 

 

required41. Do you have a valid passport?

required41. Do you have a valid passport?

 

 

 

 

 

 

Qualifications: 

Qualifications: 

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