Intensive Study Abroad Program (ISAP)

Summer SALISBURY UNIVERSITY Salisbury University 2016 ISAP APPLICATION Center for International Education 1101 Camden Avenue Salisbury, MD 21801-6860 Salisbury University Phone: 410-677-5495 B1/B2 Visa Program Fax : 410-677-6563 Intensive Study Abroad Program (ISAP) www.salisbury.edu/intled/ th Dates: July 18 , 2016 – August 12, 2016 email: [email protected]

I. PERSONAL INFORMATION

Name: ______(First/Family Name) (Last/Given Name)

Date of Birth: ______Gender: □ Female □ Male

Mother/Father/Sponsor Name: ______

Are you in the U.S? □ Yes □ No If yes, what is your current immigration status? ______

Please include a copy of the identification page of your passport, and of your I-94 (if in the United States).

Country of Birth: ______Country of Citizenship: ______

Country of Permanent Residence: ______

Address Abroad: ______

______

Telephone Number: ______E-mail Address: ______

II. DEPENDENT INFORMATION If you plan on bringing dependents (spouse, children), please provide the following information for each one of them: name, date of birth, place of birth and country of permanent residence/citizenship. There is additional cost for dependents. Please contact SUCIE for information.

III. FINANCIAL INFORMATION

Tuition cost of $2200.00 due upon arrival to Salisbury University Cashier’s Office. Summer program tuition must be paid by July 18th, 2016.

IV. TO BE COMPLETED BY SALISBURY UNIVERSITY

I certify that I have reviewed the information and all attached documents and approve issuance of admission to the Salisbury University Intensive Study Abroad Program (ISAP- B1/2)

Jessica Emhoff, SU ELI Program Coordinator Date