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Summer Intercultural Leadership Program Leading for Impact & Innovation

CEPA Foundation Application Form for the European Study Center (ESC) in Strasbourg, France

First Name^*

Last Name^*

Email^*

Enter email again^*

Date of Birth^*

Nationality^*

Gender Identity^*

Male
Female
Non-binary/ third gender
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Program Information - Course Selection

Select your Course 1 (First Two Weeks)^*

Leading for Impact and Innovation
Intercultural Communication

Indicate your preferred course prefix if you selected "Intercultural Communication" above as your course 1.

SOCI 3332
BINT 3332

Intercultural Communication SOCI/BINT 3332 is cross-referenced. The class and course outline are identical for both prefixes. Please indicate in the field above if you would prefer to receive credit for a Business course (BINT) or Sociology course (SOCI). SOCI 3332 - Sociology Course Prefix, BINT 3332 - Business Course Prefix

What year will your program take place?^*

University Information

Your University / Organization^*

Please include the full name of your university (i.e. "West Virginia University or Sullivan School/Foundation")

Major/Minor^*

Class Standing^*

Select your class standing as-of the program start date

Current Cumulative GPA^*

I have met with my study abroad advisor about participating in this program.^*

Yes
Not yet, but I will ASAP!

If you answered yes to the question above, please enter this information:

Study Abroad Advisor's Name

Study Abroad Advisor's Email

Your Current Mailing Address

Street Address 1^*

Street Address 2

City^*

State^*

Zip Code^*

Country^*

Cell phone

We won't spam you!

How did you hear about this program?^*

Ready to Submit?^*

By checking this box, I confirm that I have completed this application to the best of my ability and am prepared to submit my study abroad application to CEPA Foundation!

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