Office of International Programs :: Creighton University

International Programs > Study Abroad > Encuentro Application Form

Encuentro Application Form

Instructions: Complete the form below and submit ONLY ONCE. After you have submitted your online application, you will recieve an email message confirming that your application has been received (typcially within 3-5 business days).

To complete your Encuentro Dominicano Application, you will also need to submit additional supporting documentation to the OIP (Harper 4036). Incomplete applications will not be reviewed. Complete applications will generally be processed within 2 weeks.

* denotes required field

Applicant Information

Are you currently a Creighton student?

NetID
(if Creighton student,
faculty, or staff):

Student ID
(if NOT Creighton student,
faculty, or staff):

Name of College/Institution:

Fullname:

E-mail:

Phone:

Gender

Male

Female

Date of Birth:

Are you a U.S. Citizen?:

Current Visa Status:

Where did you FIRST hear about the Encuentro program:

Other:

Current Address (local or campus)

Address:

City:

State:

Zip Code:

Permanent Address (if different)

Address:

City:

State:

Zip Code:

Intended Term of Participation

Indicate the Term and Year for which you would like to be considered as an applicant.

Term:

Year

Because spaces are limited and fill quickly, please indicate an alternate Term and Year for which you would like to be considered as an applicant. This term must be chronologically later than your first choice.

Alternate Term:

Alternate Year

Academic Information

Indicate your first term at Creighton University (or home institution).

First Term:

First Year

Current Class Standing:

Class Standing While Abroad:

Other:

College of Registration:

Have you already declared your major:

Major/Field of Study:

Name of Current
Academic Advisor
(RSP or Major):

Advisor's Department:

Advisor's Phone Number:

Pre-Professional Interests:

Please Specify Other:

Spanish Language Preparation

Have you ever studied Spanish:

Are you a native Spanish speaker:

How many YEARS of Spanish did you study in high school:

Please Specify Other:

How many SEMESTERS of Spanish did you study in college:

Please Specify Other:

What is the name and course number of the highest Spanish course you have completed in college:

At what level do you consider your Spanish-language abilities:

Additional Information

Use this space to include any additional information about yourself that you feel would be helpful for the selection committee

Electronic Signature

“I understand that the OIP reviews the disciplinary and academic records of all study abroad applicants; I authorize the OIP to review my disciplinary and academic records and understand that this application will not be approved without clearance of my academic and disciplinary records as outlined in Creighton’s Study Abroad Policies & Procedures.”

“I acknowledge and agree that my electronic submission of this form to the OIP is my acknowledgment that the form is true and accurate, and the OIP can rely on the form as if my handwritten signature was on the form, and this electronic attestation serves as my electronic signature. I agree that no certification or other third party verification is necessary to verify my electronic signature.”

Fullname:

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