Faculty-Led Study Abroad: Spring Intersession Application

(Street, City/Province, State, Zip)

Check class standing that applies to you:

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BUS 100 | Entrepreneurship for Everyone (BULGARIA)

GEO 495 | Water Sustainability and Geodiversity in the Balkans (BULGARIA)

ANT 495 | Food Traditions of Sicily (ITALY)

PSY 495 | Cross-Cultural Psychology in Italy: Foods and Traditions of Wellbeing (ITALY)

PSY 495 | Cross-Cultural Lifespan Development (ITALY)

MGT 200 | Global Organizational Ethics and Social Responsibility (ITALY)

BUS 100 | Entrepreneurship for Everyone (BULGARIA)

GEO 495 | Water Sustainability and Geodiversity in the Balkans (BULGARIA)

ANT 495 | Food Traditions of Sicily (ITALY)

PSY 495 | Cross-Cultural Psychology in Italy: Foods and Traditions of Wellbeing (ITALY)

PSY 495 | Cross-Cultural Lifespan Development (ITALY)

MGT 200 | Global Organizational Ethics and Social Responsibility (ITALY)

I certify I will abide by all the rules, policies, codes of conduct, and regulations of the CSU Dominguez Hills and of the Office of International Education in particular.

I certify I am in good academic and judicial standing. I understand if I fail to meet and maintain the requirements for participation in the study abroad program, I will be ineligible to participate, and any advance payments made by me will not be refunded.

I certify that I understand that withholding information requested or giving false information will make me ineligible for admissions to the program or dismissal from the program, without refund of any costs or fees paid.

I have read Part D and agree to the terms outlined by California State University, Dominguez Hills.

I authorize to release details of my disciplinary record(s) to the CSUDH Study Abroad Office. By signing this form I certify that I understand and authorize the release and sharing of my confidential records with the CSUDH. If there is the possibility of a change in my current status, I must discuss my case with my Dean of Student or Designee, otherwise, I may no longer qualify for a study abroad enrollment, and I may not be eligible for a refund.

I have read Part E and agree to the terms outlined by California State University, Dominguez Hills

I, , accept that a $120 deposit is due within 10 days of registering. I understand that a failure to do so may result in my withdrawal from the program.