Germany-Poland Application – Asbury University

Thank you for applying to an off-campus program!

Current Asbury Students

If you are currently enrolled at Asbury University, your “Intent” Form is completed. The Global Engagement Office will be in touch to advise you through our Study Abroad & Off-Campus Programs application process.

Non-Asbury Students

Please apply through our Admissions Office as a “Visiting Student”. After you submit your “Visiting Student” application and you are accepted by our Admissions Office, the Global Engagement Office will be in touch to advise you through our Study Abroad & Off-Campus Programs application process.

asbury.edu/specialstatus

Thank you!

Are you an Asbury student?*

Yes
No

Non-Asbury students are welcome. Typical credit transfer rules apply.

Personal Information

Name*

First Middle Last

Preferred name

Email*

Birthday*

Citizenship*

US citizen
US permanent resident

Gender*

Male
Female

Marital status*

Single
Married

Campus/Current Address

Address valid until*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Daytime phone*

Evening/Cell phone*

Permanent Address: Same as above?*

Yes
No

Permanent Address

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Daytime phone (permanent address)*

Evening/Cell phone (permanent address)*

Parent Or Guardian Information

Name(s)*

Parent or Guardian Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Daytime Phone*

Evening/Cell phone*

Email*

Study Abroad/Off-Campus Program

You are applying for the Human Dignity Tour of Central Europe Trip with Dr. Paul Nesselroade. If you would like more information about the trip itself, please email paul.nesselroade@asbury.edu or ashley.demichael@asbury.edu.

Intended Year And Semester Of Enrollment

Intended Enrollment Semester*

Current Class Level*

Expected Class Level (during program)*

Major

Additional major (if applicable)

Minor

Current Cumulative GPA*

Please enter a number from 0 to 4.

It is Asbury University’s policy that any student participating in a Study Abroad & Off-Campus Program has a minimum GPA of 2.75.

Anticipated Graduation Date

Graduation Year*

Graduation Semester*

Fall
Spring
Summer

Academic Advisors

Advisor 1 Name*

Email Contact*

Please provide your second Advisor’s name and e-mail if you have declared 2 majors.

Advisor 2 Name

Email Contact

Will you be completing the Cross-Cultural Engagement project through the Human Dignity Tour of Eastern Europe?*

Yes
No

Brief Essay Questions

What benefits do you hope to gain from participating in this program? How do you think it might affect your future goals?*

What attracted you to this particular study abroad experience?*

Since you are applying to a program outside the United States, please list any other overseas travel experiences, including location, length, and reason for the trip (and/or with whom).*

Note: Previous experience is not required; we just want to get to know you.

Describe your spiritual and/or personal journey. How do you anticipate this experience impacting your personal development or growth?*

This trip requires physical stamina, as we will be walking 5-10 miles per day. How do you tend to handle physical challenge or tiredness? How do you plan to prepare for this physical aspect of the trip?*

Resumé Upload

Please upload your resumé as a Word document or PDF.*

Accepted file types: doc, docx, pdf, Max. file size: 10 MB.

The entry requirements for this trip’s destination countries are such that you must be vaccinated to participate. Vaccinations you must have include the following: COVID-19 vaccination and up-to-date routine vaccinations. If you are unsure what routine vaccinations you need, please utilize the CDC Travel website and enter the destination countries of Germany and Poland: https://wwwnc.cdc.gov/travel. If you have any questions about the vaccination guidelines, please contact ashley.demichael@indwes.edu.

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Upload COVID-19 Vaccination Card*

Accepted file types: jpg, gif, png, pdf, Max. file size: 10 MB.

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Upload up-to-date Vaccination Record*

Accepted file types: jpg, gif, png, pdf, Max. file size: 10 MB.

One

This field is for validation purposes and should be left unchanged.