Office of International Programs :: Creighton University :: FLPA Application South Africa-COBA

International Programs > Study Abroad > FLPA Application South Africa-COBA

FLPA Application South Africa-COBA

Instructions: Complete the form below. Please submit your completed form ONLY ONCE. You will receive an email confirming that your application has been received (typically within 3-5 business days). After submitting your online application, you will need to submit additional supporting documentation to the OIP (Harper 4036) to complete your application file. Incomplete applications will not be reviewed.

A complete FLPA Application consists of the following:

* denotes required field

Applicant Information

Destination:

Are you currently a Creighton student:

NetID
(if Creighton student):

Student ID
(if NOT Creighton student):

Name of College/Institution:

Fullname:

E-mail:

Phone:

Gender

Male

Female

Date of Birth:

Are you a U.S. Citizen?:

Current Visa Status:

Current Address (local or campus)

Address:

City:

State:

Zip Code:

Permanent Address (if different)

Address:

City:

State:

Zip Code:

Academic Information

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

First Term:

First Year

Current Class Standing:

Specify Other Current Class Standing:

Intended Term of Graduation:

College of Registration:

Specify CU Graduate or Professional School:

Major or Field of Study:

Name of Current Advisor (RSP or Major):

Advisor's Department:

Additional Information

Please BRIEFLY explain why you are interested in participating in this FLPA program. Feel free to include 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.”

Full Name:

CU-URLcapture