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Online Application

George Fox University in Bolivia

Application

Personal Information

Full Name Male Female Age:
Birth date Citizenship
Campus Box No. Campus Phone E-mail
Home Address
Home Phone
Person to be notified in an emergency Relationship
Phone Address

Health Information

Health Condition Excellent Good Fair Other (explain below)
(i.e. asthma, diabetes, etc.)
Any special dietary concerns?
Medical Clearance: Are you willing to provide a physician's clearance (form provided after acceptance) and permission to release college record? Yes No
Comments
Immunization: Are you willing to receive all required immunizations and precautionary treatments? (i.e. yellow fever, typhoid, & hepatitis) Yes No

Academic Information

College or University
Off-Campus Program Director Phone
Major(s) Minor
Graduation Date Overall GPA GPA in major

Student Responses


  1. After reviewing the description of the SASP program on this website, describe your reasons for participating in the program and how your personal and academic goals would be enhanced by these studies in South America.
  2. How do you expect to benefit spiritually by participating in the program?
  3. What qualities and experiences do you have that will enrich the group studying together in Bolivia?
  4. Describe your interest, desire or sense of leading to serve Christ and humanity cross-culturally.


References

References are required from:

  1. Your Academic Advisor
    Name E-mail
  2. A Student Life staff member
    Name E-mail
  3. The Study Abroad Director at your college
    Name E-mail
Provide the names and e-mail addresses of these individuals and the SASP director will contact them for their referral.

Student Commitment

You must print out and sign the student commitment document below.

Student Commitment Signature Page

Mail signed document to:
Lon Fendall
414 N. Meridian #6262
George Fox University
Newberg, OR 97132

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