International Experience Application

We are glad you are interested in completing an international experience! You must complete the application in full to be considered. You will NOT receive a notification when your application has been received so if you would like such confirmation, please email Dr. Cope (rebecca.cope@liu.edu) or Dr. Gim (suzanna.gim@liu.edu) to inquire after submission. You will need your passport, an updated CV, two references (name, relationship, and email address), and a personal statement in completing the application.

Question 1

Full Name (as it appears on your passport):

Question 2

Phone Number: (xxx-xxx-xxxx)

Question 3

GPA (approximate): (Please enter numbers with a decimal point)

Question 4

Expected Graduation Date: (mm/dd/yyyy)

Question 5

Other Degrees:

Question 6

DOB: (mm/dd/yyyy)

Question 7

Country of Birth:

Question 8

Passport Country:

Question 9

Passport Number:

Question 10

Passport Issue Date: (mm/dd/yyyy)

Question 11

Passport Expiration Date: (mm/dd/yyyy)

Question 12

Ethnicity (optional):

Question 13

E-mail Address:

Question 14

Address: