NC STATE 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

    Your Name (required)

    Email (required)

    Address

    Phone Number

    Date of Birth

    Parent or Guardian's Name

    Parent or Guardian's Address

    Current Class Year

    Major(s)

    Minor(s)

    PART 2: NC State in Seville COWA programs

    2. Choose Your Program (Please check the box that applies to you):
    Language, Technology and CultureHuman Resources Management

    PART 3: MEDIA CONTENT CONSENT AND SOCIAL MEDIA

    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 profesional manner.


    Please share your username(s) for any personal or study abroad Instagram accounts so we can follow your journey, tag you in content and allow you to participate in contests for prizes.



    PART 4: PASSPORT INFORMATION


    Country of Citizenship


    Passport number


    Please check the box that applies to you:


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