Student Project for Amity among Nations (SPAN) Application
  • It is your responsibility to notify us of any change of address.
    ___________________________________________________________________
  • (i.e., address of parent, guardian or spouse)
    _____________________________________________________
  • (for emergencies and release of information during your absence)
    _______________________________________________________________
  •   Freshman
      Sophomore
      Junior
      Senior
      Graduate School
      Other
  • The information below is voluntary and will be used for summary reports required by federal and state laws and regulations and to support institutional affirmative action efforts. It will not be used as a basis for admission or in a discriminatory manner.
    _____________________________________________________________
  •   Male
      Female
  •   African-American
      American Indian or Alaskan native
      Asian or Pacific Islander
      Chicano
      Other Hispanic
      White, non-hispanic
      Multi-ethnic background
  • When you have completed this form, please read the statement below and check the box before you submit your application.
    ________________________________________________________________
    By checking this box, I certify that all statements made on this application and all other travel and research abroad application materials are complete, true and accurate to the best of my knowledge.





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