This form is used to verify your overseas contact information. Fill in the form fields completely and click on the "send" button.

First Name:		Last Name:
Student ID:		E-mail Address:
Overseas Address (entire postal address):
Overseas Phone Number:
Program (if you directly enrolled, then please indicate that):		Please select your program Direct enrolled AIU DubaiActilingua AcademyAlexandria UniversityAmerican College DublinAmerican College of DublinAmerican College of SwitzerlandAmerican College of ThessalonikiAmerican Studies AbroadAmerican University in CairoAmerican University of RomeAnglo Americka Vysoka SkolaAntonio de Nebrija UniversityArabic Language Institute in FezArabic Language and Culture in EgyptArcadia University Academia ItalianaArinhem Business SchoolAthens CampusAugusta State UniversityAustralia and New Zealand-MSU Australian National UniversityBAOBAB Centre, SenegalBeijing Language and Culture UniversityBelemBesancon, FranceBogazici UniversityBond UniversityBonn UniversityBrighton CollegeBritish American Drama AcademyBritish American Dramatic AcademyBrockport City UniversityBudapest University of Economic Sciences & Public Admin.Buenos Aires, Conthage CollegeBusiness in ChinaButler UniversityCPI InstituteCenter for Creative StudiesCenter for International StudiesCentral Queensland UniversityCentro de Lenguas y Ecotourismo Charles UniversityCharles University-SemesterCharles University-SummerChinese Language and CultureCornell UniversityCrawcow UniversityCurtin UniversityDaito Bunka UniversityDamascus UniversityDeakin UniversityDomus AcademyEast China Normal UniversityEberhard-Karls Universitat-TubingenEcole France LanguageEl Tec De MontereyEngineering in China / South KoreaEngineering in GermanyEstudio SampereFairfield UniversityFlorence University of the ArtsFreie Universitat BerlinFundacion Jose Ortega y GassetGaeity School of ActingGlasgow School ArtGlobal Visions InternationalGoethe-InstitutGoldsmith CollegeGrand Tour of EuropeGriffith UniversityGuanajuatoHaenicke Institute Global EducationHarlaxton CollegeHogeschool van UtrechtIES, LaPlataInstitut Mediterrranean d'etudes FrancaiseInstitute for American StudiesInstitute for Cistercian StudiesInstitute of International Studies and Modern LanguagesInstitute of Public Admin.Institute of Social SciencesInstituto de AllendeInter American UniversityIntercultura Language CenterInternational Hayden FestivalInternational Perspectives on Care of Older PersonsIreland Direct EnrollIstituto FilipinJagiellonian UniversityJames Cook UniversityJapan Center for Michigan UniversitiesJapan Religion & CultureJapan-America Student ConferenceJiaotong UniversityJohn Cabot UniversityJohn Felice Rome CenterKEI BelgiumKatholieke Universiteit LeuvenKeio UniversityKyoto International Language CenterLa Universidad de ExtramaduraLa Universidad de GranadaLaTrobe UniversityLancaster UniversityLanguage Studies AbroadLincoln UniversityLondon Metropolitan UniversityLondon School of Econ.Long Island UniversityLorenzo de Medici InstituteMDA Peace CorpsMacquarie UniversityMediterranean Center for Arts & SciencesMenedez Pelayo International UniversityMiddlesex UniversityModern and Contemporary Art in ParisMonash UniversityMoscow Linguistic UniversityN/AN/A Non-WMU JLN/A Non-WMU WWNanotechnology Research in BrazilNational University of IrelandNational University of IrelandNational Universtiy of Kyiv-Mohyla AcademyNegociaNihon UniversityNorwegian School of ManagementNorwegian School of ManagementNursing in LondonOtaru University of CommerceOxford UniversityPablo de OlavidePalazzo RucellaiPalazzo RucellaiPalma de MallorcaPoland (Direct)Pontifical Catholic "Madre y Maestra"Pontifical Catholic University of ValparaisoQueretaro Graduate ProgramRennesRichmond UniversityRitsumeikan UniversityRussel Sage CollegeRussia (Trump State University)Russian Language and CultureSACISIT - VariousSalamanca UniversitySalzburg CollegeSarah Lawrence UniversitySaratov State UniversitySchiller International UniversitySchool of Social WorkSchool of the WorldScuola Leonardo da VinciSeinajoki Polytechnic, Business SchoolSemester at SeaSorbonneSouthern Cross UniversitySpecial Ed InternshipSt. Andrews UniversitySt. Patricks CollegeSt. Peterburg State Polytechnic UniversitySt. Sophia UniversityStellenbosch UniversityStirling UniversityStockholm Institute of EducationSunway University CollegeSwinburne University of TechnologyTecnologico De MonterreyTheatre in CanterburyTrident CollegeTrinity CollegeTropical Biology BelizeUCSBUniversidad Autonoma de QueretaroUniversidad Autonoma de YucatanUniversidad Catolica de ArgentinaUniversidad Complutense de MadridUniversidad Complutense de MadridUniversidad Complutense de MadridUniversidad Internacional Menendez PelayoUniversidad LatinoamericanaUniversidad MichoaconaUniversidad Nacional de CuyoUniversidad de AlicanteUniversidad de BelgranoUniversidad de CantabriaUniversidad de Deusto-BilbaoUniversidad de GuadalajaraUniversidad de GuanajuatoUniversidad de Tec MonterreyUniversidad de las AmericasUniversitat FreiburgUniversitat StuttgartUniversitat TubingenUniversite Laval - SemesterUniversite Laval - SummerUniversiteit MaastrichtUniversiteit van AmsterdamUniversity College CorkUniversity College DublinUniversity College of LondonUniversity Studies Abroad ConsortiumUniversity de BelgranoUniversity of AIXUniversity of AberdeenUniversity of AegeanUniversity of Akureyri IcelandUniversity of AlcalaUniversity of AlicanteUniversity of AucklandUniversity of BarcelonaUniversity of BelgranoUniversity of BurgundyUniversity of CadizUniversity of CambridgeUniversity of CanterburyUniversity of Cape TownUniversity of CardiffUniversity of CopenhagenUniversity of CorkUniversity of Costa RicaUniversity of DurbanUniversity of EnglandUniversity of GalwayUniversity of GermanyUniversity of GlasgowUniversity of GranadaUniversity of GrenobleUniversity of Indianapolis AthensUniversity of Kwazulu-NatalUniversity of LeedsUniversity of LeicesterUniversity of LimerickUniversity of MaltaUniversity of MelbourneUniversity of MexicoUniversity of MunichUniversity of New South WalesUniversity of NewcastleUniversity of NorthumbriaUniversity of OtagoUniversity of OuluUniversity of PaderbornUniversity of PassauUniversity of Paul CezanneUniversity of QuebecUniversity of RichmondUniversity of RomeUniversity of SalamancaUniversity of SalzburgUniversity of SevilleUniversity of SevilleUniversity of South AustraliaUniversity of SydneyUniversity of TasmaniaUniversity of ValenciaUniversity of ViennaUniversity of Vina del MarUniversity of WaikatoUniversity of WashingtonUniversity of West SydneyUniversity of WestminsterUniversity of WestminsterUniversity of WollongongUniversity of YucatanUniversity of the West IndiesVaxjo UniversityVeritas UniversityVienna Summer SchoolYukon BackpackingZF Lenkssteme Internship
Study Abroad Coordinator:		Please select your program coordinator Anastassia KamlAnn GanzCathleen FullerGabriela Peschiera-CarlJohn BrownMargaret Von Steinen
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Country:		Please select your country AfghanistanAlbaniaAlgeriaAndorraAngolaAnguillaAntiguaArgentinaArmeniaAustraliaAustriaAzerbeijanBahamasBahrainBangladeshBarbadosBelgiumBelizeBeninBermudaBhutanBoliviaBosnia-HerzegovinaBotswanaBrazilBritish Virgin IsBruneiBulgariaBurkina FasoBurmaBurundiByelarusCambodiaCameroonCanadaCanary IsCape VerdeCayman IsCentral African RepublicChadChileChinaColombiaComorosCongoCook IsCosta RicaCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEnglandEquatorial GuineaEritreaEstoniaEthiopiaFalkland IsFaroe IsFijiFinlandFranceFrench GuianaFrench PolynesiaGabonGambiaGaza-PalestineGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuatemalaGuernsey IsGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyIvory CoastJamaicaJapanJordanKazakhstanKenyaKiribatiKorea-NorthKorea-SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMartiniqueMauritaniaMauritiusMexicoMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMultipleNamibiaNauruNepalNeth AntillesNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IsNorwayOmanPakistanPalestinePanamaPapua-New GuineaParaguayPeruPhilippinesPolandPortugalQatarReunionRomaniaRussiaRwandaSan MarinoSao Tome and PrincipeSaudi ArabiaScotlandSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IsSomaliaSouth AfricaSpainSri LankaSt HelenaSt Kitts-NevisSt LuciaSt VincentSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTibetTogoTongaTrinidad and TobagoTrust Territory of PacificTunisiaTurkeyTurkmenistanTurks & Caicos IsalandsTurks IsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnknown CountryUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWallis IsWest Bank-PalestineWestern SaharaWestern SamoaYemen/AdenYemen/SanaaYugoslaviaZaireZambiaZimbabwe
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