Office of Global Initiatives
and International Programs

Study Abroad—Your Gateway to the World

Your name:

Your CCC e-mail address:

Other e-mail:

Your phone number or room extention:

Your mailing address:

When do you intend to graduate?

Number of credits you have so far toward your degree:

Your major(s) and minor (s):

Are you a
full-time student or a part-time student?

Who is your academic advisor?

What is your GPA?

Where do you think you would like to study abroad?

Why there?

Do you have a particular program in mind?

For how long would you like to study abroad?

Do you want to study abroad during spring or winter break, the summer, for a semester, or for a full academic year (two semesters)?

When do you hope to begin studying abroad?

Have you ever traveled outside the U.S. before?
Yes No

If so, where to and for what purpose?

Where have you traveled in the U.S.?

Do you get financial aid?
Yes No

If so, what sort—federal, state, college?

Do you have a Pell Grant?
Yes No