General University/Program Information: Please identify the date, time and location of your CSU Educational Abroad program. The date and time on your program schedule should be the day, and the location should be the evening of the program. Please choose the day or dates you attend (this is not necessarily the same day you will be enrolled) and make your program the first day of your semester, quarter or term and the location the evening before (or the day after) that session. If attending the program on the day of the event, please indicate it in the appropriate field. The date we have listed for you is the closest day to the time that you can begin/finish your session for the academic year and is the date that you will receive your refund for the program. This indicates a partial refund of up to 200.
B. Personal Information: This is the information we need to better serve you.
Required information includes:
First Name
Middle Initial
Last Name
Surname
Telephone Number
Email Address (please use an email account that you can easily access via internet)
Gender
Height:(optional):
Weight:(optional):
Eye Color: (optional)
Face Color: (optional)
Date of Birth:([optional] YYY/NN-MM-DD) (please use the date on a passport photo, driver's license or other official document as listed).
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Country/Program Name Term Year **Please complete using BLOCK LETTERS** CSU Education Abroad Semester/Short-Term Program Information Sheet Name: Male: () Female: () Last First Middle (As it appears
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