GVSU IN SEVILLE

GENERAL INFORMATION

Please fill out this form with your general information and upload a copy of your up to date passport

    PART 1: GENERAL INFORMATION

    Name (required)

    Surnames (required)

    University Email (required)

    Date of Birth

    Gender

    Street Address

    City

    State

    Zipcode

    Country

    PART 2: PASSPORT INFORMATION

    Passport number

    Country of Citizenship

    Please check the box that applies to you:

    Upload Current Passport Copy. Acceptable file types: pdf, jpg

    PART 3: ACADEMIC INFORMATION

    Student ID

    Major

    Minor

    Class Standing

    I consent to and authorise the use and reproduction in print or electronic format, by Connecting Worlds Abroad (COWA), of any and all photographs or video which have been taken of me for any publicity. I understand that all images are owned by COWA which may publish or use them in any professional manner.

    PART 4: EMERGENCY CONTACT INFO

    Emergency Contact Name

    Relationship to You

    Emergency Contact Email

    Emergency Contact Phone Number