Lifestyles of the Mediterranean Summer 2020 -  Application Form
[PROGRAM OPEN TO ALL MAJORS]

Please complete ALL sections of the application.  Information on this form will be kept completely confidential. Applications are processed on a rolling basis.  Application Deadline is: Sunday, March 1, 2020.

You must submit:
Completed and signed application form
Responsibility Statement  
$35.00 Application Fee (non-refundable)  Attn.: You will be provided with a link to provide payment at the end of submission of this application. Alternatively, the link can be found on our program web page.
Note: Your application will not be reviewed until application fee is received.

Please email Saharish Javed, Program Manager, at saharish@rutgers.edu for any questions or inquiries in regards to the application process.


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Email *
Department of Kinesiology and Health
70 Lipman Drive, New Brunswick, NJ 08901
Rutgers University, School of Arts and Science
Personal Information
First Name *
Last Name *
Gender *
Date of Birth *
MM
/
DD
/
YYYY
Country of Citizenship *
NOTE: VISAS may be required for those who are not U.S. citizens. Please contact Saharish Javed at saharish@rutgers.edu for more info.
Institution *
(e.g. Rutgers University)
School *
(e.g. School of Arts and Science or Rutgers Business School)
Program *
Status *
RUID (for Rutgers students only)
Section 2: Contact Information
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