FGCU Study Abroad Saudi Arabia and the UAE

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please complete the application form below for the faculty led study abroad program to Saudi Arabia and the UAE. The FGCU faculty leader is Daniel Rottig. Please email Dr. Dechen Albero, dalbero@fgcu.edu with any questions regarding the application process.

First Name *

Last Name *

Your Name Exactly As It Appears On Passport (or Official Govt Issued I.D., including all middle names) *

FGCU UIN # *

Please make sure your UIN Number is correct

FGCU Eagle Email Address (all official communications will be via FGCU email) *

Date of Birth *

YYYY

Primary Phone (xxx-xxx-xxxx) *

What is your major? *

Which category best describes you? *

Asian

American Indian

Black or African American

Hispanic or Latino

Middle Eastern / North African

White

Other

prefer not to answer this question

What is your intended graduation term? (term/year)

Are you currently an FGCU Honors College student? *

Yes

Do you have a passport? *

Yes

I am in the process of applying or renewing my passport

If not a US passport, what country issued your passport?

Emergency Contact: name *

Emergency Contact: phone number

Please explain why you are interested in the program. *

I understand that if I am Accepted into the program my student account will be charged a deposit to secure my spot. *

I have read and understand the statement above.

Required

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms