UAFS Study Abroad Questionnaire Question Title * 1. Please answer the following: Name: Home City/Town: UAFS ID#: Email Address: Phone Number: Question Title * 2. Date Of Birth (MM/DD/YYYY): * Date Question Title * 3. Are you a US Citizen? Yes No If No, please specify your nationality. Question Title * 4. In which continent or region would you like to study? Africa Asia Australia Central America/Caribbean Europe Middle East North America (Canada and Domestic US) South America Undecided Other (please specify) Question Title * 5. Current standing: Freshman Sophomore Junior Senior Question Title * 6. What is your current GPA? 4.0 3.5-3.99 3.0-3.49 2.5-2.99 2.0-2.49 0-1.99 I do not know Question Title * 7. How many credit hours have you earned at UAFS? 0 1-15 16-30 31-45 46-60 61-75 76-90 91-105 106-120 121 or more Question Title * 8. Do you have a passport? Yes, I have a passport. No, I do not have a passport. Question Title * 9. Which college do you belong to? Undecided Applied Science and Technology Business Education Health Science Humanities and Social Science Languages and Communication STEM Question Title * 10. What is your major? Accounting Animation Technology Applied Science Automotive Technology Biology Business Administration Chemistry Computer Graphic Technology (CGT) Criminal Justice Dental Hygiene Early Childhood Education Electronics Technology Engineering English General Studies General Technology Graphic Design History Imaging Sciences Information Technology Legal Assistance and Paralegal Marketing Mathematics Media Communication Middle Childhood Education Music Nursing Organizational Leadership Physical Science Psychology Radiography Rhetoric and Writing Secondary Education Spanish Studio Art Surgical Technology Theatre Welding Workforce Leadership Undecided Other (please specify) Question Title * 11. When do you want to study abroad? Fall 2015 Summer 2015 Spring 2015 Summer 2014 Fall 2014 Undecided Other (please specify) Question Title * 12. How long would you like to study abroad? One semester Summer I or II One year Undecided Question Title * 13. Why do you want to study abroad? Question Title * 14. Which scholarship(s)/grant(s) do you have now? I do not receive any scholarship(s)/grant(s) Pell Grant Arkansas Academic Challenge Scholarship CLC Scholarship Honors International Studies Program Scholarship Boreham Engineering Scholarship First Bank Corp. Business Scholarship Academic Distinction Scholarship of Prestige Academic Excellence Scholarship Academic Opportunity Scholarship Transfer Scholarship Phi Theta Kappa Scholarship Higher Education Opportunities Grant TEACH Grant Workforce Improvement Grant Federal Supplemental Educational Opportunity Grant (SEOG) Other (please specify) Question Title * 15. Comments or questions: Done