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NON-QC Program Application Google Form- SUMMER 2025 & FALL 2025
Please visit our NON-QC Programs Page (link below) for next steps.
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* Indicates required question
Link: https://www.qc.cuny.edu/academics/sa/studying-abroad-through-a-non-qc-program/
APPLICANT'S INFORMATION
Desired Semester(s) Abroad
*
SUMMER 2025
FALL 2025
FALL 2025 & SPRING 2026
Other:
First Name
*
Your answer
Last Name
*
Your answer
Gender
*
Choose
M
F
X
What type of program is this?
*
Other CUNY
SUNY
USAC
3rd Party
Direct Enrollment through a university abroad
Other:
Host Program Name
*
Your answer
Host City
*
Your answer
Host Country
*
Your answer
CUNY ID (NOT Social Security)
*
Your answer
Email
*
Your answer
Cell Phone #
*
Your answer
Date of Birth (MM-DD-YYYY)
*
Your answer
Country of Citizenship
*
Your answer
Current Address
*
(Number & Street Name, Apartment #, City, State, Zip Code)
Your answer
PASSPORT INFORMATION
Passport
*
* Passport cannot expire on or before: Fall students: July after your semester ; Spring Students: December of the same year you are abroad ; Academic Year: December of the year after
I have a passport that will still be valid six months after the end of the program*
My passport is expired or will expire before six months after the end of the Program and I WILL RENEW IT IMMEDIATELY.
Passport #
*
If getting passport renewed, write N/A
Your answer
Country that Issued Passport
*
Your answer
ACADEMIC INFORMATION
GPA
*
Required MINIMUM 2.5
Your answer
Are you a part of any of these programs? (Check off the ones that apply to you)
*
Macaulay Honor's
SEEK
CUNY BA
Kessler Scholar
ACE
None of the above
Other:
Required
Do you receive Financial Aid? (If so, be sure to speak with your Financial Aid Office)
*
Yes
No
Major(s)
*
Your answer
Minor
Your answer
Language Skills (other than English)
*
Your answer
How did you find out about our program? (Check all that apply)
*
Study Abroad Office
Classroom Visit
Website
Email Blast
Info. Session
Study Abroad Fair
Club Day
Professor
Other:
Required
EMERGENCY CONTACT INFORMATION
Emergency Contact Name
*
Your answer
Emergency Contact Relationship
*
Your answer
Emergency Contact Cell Phone #
*
Your answer
Emergency Contact Email
*
Your answer
Comments (Optional)
Your answer
Thank you for completing this form!
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