Interest Form – Expanding Boundaries International

Name *

First

Last *

Last

Email *

Mobile Phone

Address *

Address

City

State/Province

Zip/Postal

Country

Address

Supervising Parent Phone Number if minor

Supervising Parent Email Address if minor

Name of Institution or School

Grade Level, or College Level

Current GPA

Current Major or Career Interest

Program interested in *

Timeframe interested in *

Summer or Spring Break Abroad (Between 1 - 3 months)

Semester Abroad (4 months)

Academic Year

Year you'd prefer to go abroad

What are your top 3 study abroad destinations and why? 50 to 200 word count *

What is most important to you for your abroad experience? *

What do you see as primary barrier(s) getting in the way of you abroad? *

First checkbox *

I understand that by checking the box and clicking the 'Submit' button that I am authorizing Expanding Boundaries International (EBI) and its database vendor to collect personal information about me for the express purpose of facilitating my abroad program. I understand that the type and amount of information that is collected about me by this site is related to my participation in international education and limited to items necessary for participants and faculty to participate fully in their selected program. General information will be used for reporting purposes, but will not be personally identifiable.

Second checkbox *

In the case that I wish to withdraw my consent for my personal information to be retained in this site, I understand that I will need to contact the site administrator.

Third checkbox *

The General Data Protection Regulation (GDPR) is a law passed by the European Union (EU) Parliament aimed at protecting EU data subjects' personally identifiable information (PII) collected and stored by websites and web service providers. The GDPR requires that companies be provided consent by a user before collecting and storing any PII about that user. The GDPR also grants site users with specific rights in regards to the use of their data.

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