2013 Summer Innsbruck Program UNDERGRADUATE APPLICATION FORM Innsbruck, Austria July 5-Aug. 14, 2013 Name: Last First Middle Initial E-Mail address: ______________________________________________________ College attending: ______________________________________________________ Unit number or local address: Local or cell phone ( ) I.D. # Date of birth: (Month) (Day) (Year) Major: Overall GPA: __________ Advisor’s name: ______________________________ Number of credit hours currently completed Number of semesters at Stetson ______________ Parent’s name(s) Permanent address: Parent’s email address: __________________________________________________ Telephone ( ) I think I am ready for a study abroad experience that includes living in housing facilities and foreign travel, neither of which is supervised by the school, because: ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ I am a member of the following organizations: ______________________________________________________________________________ ______________________________________________________________________________ I hold or have held the following leadership positions: ______________________________________________________________________________ ______________________________________________________________________________ Why would you like to attend this program? ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ How did you hear about the Innsbruck Program?___________________________________ _______________________________________________________________________________ (Please see reverse side.) 2013 Summer Innsbruck Program Tentative Class Schedule CHECK TWO CLASSES BELOW plus WRITE IN an alternate for each course checked Class Period 1 Prerequisites ( FIN 311 Business Finance ATG 211, ECON 103 and STAT 201 (or MATH 125Q or STAT 301) ( EDUC 374J-JS Educational Systems Around the World ( MKT 316 Consumer Dynamics MKT 315 Alternate: Class Period 2 ( STAT 301 Business Statistics Info Tech Proficiency Requirement ( MKT 315 The Marketplace & Consumers Junior standing ( ENCW 311A Creative Non-Fiction: Travel Writing Permission of instructor ( MGT 495 Strategic Management ATG 212, FIN 311, MIS 350, MKT 315, MGT 305 and senior standing Alternate: Class Period 3 ( MGT 305 Human Relations, Leadership & Junior standing Teamwork ( HUM 300A European Cultural Expression Alternate: Do you plan to take the group flight to Europe? ____________ (Approximate cost - $1,385.00 for airfare and $100 for bus to and from Innsbruck from Munich airport) Be advised that a conduct check at the Office of Community Standards will be performed. A $150 deposit is required when you apply. To participate, you must be a mature student, ready to live and study independently in Europe, have a minimum overall GPA of 2.5 and an acceptable conduct record. Signature:_________________________________ Date ____________________________ TO APPLY: Please send this completed form to: Ms. Nancy Kernan, Summer Innsbruck Program, Stetson University, 421 N. Woodland Blvd., Unit 8398, DeLand, FL 32723 or hand deliver to Room 414, Lynn Business Center, Stetson University. Phone: (386) 822-7394 or e-mail, nkernan@stetson.edu. Students not enrolled full time at Stetson must also apply for admission as a Transient Student, which requires a separate application. Ms. Kernan will facilitate this process upon your application to the Innsbruck program.