Student Application - Northwood University Forms

Please note that student athletes will need to download and complete a NCAA Compliance form as part of this application.

Name *

First Middle Last

Preferred Name

Date of birth *

Sex *

Male
Female

Student ID Number *

How long is this trip? *

Short-Term ($500)
Long-Term ($1000)

Name of Study Abroad Program Applying to *

Email *

Enter Email Confirm Email

Please list your NU email address. Much of the communication for this program will be via email so you must check it regularly.

It is essential that we remain in contact with you from your acceptance into the program until your departure. It is your responsibility to inform our office of any change in address, e-mail, or phone number.

Country of Citizenship *

Cell Phone *

Other Phone

Whats-App Number

Passport Number

If you have no passport at this time, apply for one immediately and submit this application anyway.

Passport Issuance Date *

Passport Expiration Date *

Passport Country of Issuance *

Full Legal Name as written on Passport *

Upload a scan of your passport bio page *

Please ensure the photo is clear and readable

Shirt size *

Have you talked with Financial Aid? *

Yes
No

Click here to book a Virtual Appointment.

Have you talked with your Academic Advisor? *

Yes
No

Book an appointment with Ellen Iwanow.

Book an appointment with Kim Bryant.

Book an appointment with Nicole (Nikki) Gonzalez.

Are you a student athlete? *

Yes
No

What sport? *

What is your Major/Minor? *

Upload your completed NCAA Compliance Document

Download and fill out the document, obtaining the signatures of both your coach and NCAA compliance officer.

If you have already completed this document, scan and upload it here. Otherwise, please send it to .

Do you have any dietary restrictions or preferences? *

Yes
No

Please detail your dietary restrictions: *

Do you have any allergies? *

Yes
No

Please list all allergies: *

Emergency Contact Name *

First Last

Emergency Contact Cell Phone *

Emergency Contact Email *

Emergency Contact's Relationship to You *

Emergency Contact Information Release *

I agree to waive my HIPAA and FERPA rights specifically for this study abroad program to allow Northwood University to release information to my emergency contact listed above in case of an emergency abroad
I do not agree to waive my HIPAA/FERPA rights for this purpose

Will you require a visa? *

Yes
No

Please note that students must apply for and obtain any required visas independently.

How did you learn about this study abroad program? *

Classroom presentation
Email message
Study Abroad Fair
Professor
Past participant on Study Abroad program
Social media
Blackboard

My consent below constitutes an electronic signature and indicates my request for consideration of this application. I understand that a $500 deposit must accompany this application. If I am accepted, payments are due by the appropriate date as indicated on the program’s information packet. I understand that payments will not be billed but are due on my own initiative. Checks should be made out to Northwood University and mailed to: International Programs – Study Abroad, Northwood University, 4000 Whiting Drive, Midland, MI 48460-2392 or dropped off at the Business Office.

In signing this application, I also understand that if I: voluntarily withdraw from this program prior to departure, OR withdraw from the program for any reason once the program has begun, that only the portion of the fees not already committed to fixed costs (salaries, airfare, hotels, etc.) or non-refundable down payments/deposits can be refunded to me, and this only after the closing date of the program. Students who are dismissed from the program receive no refund.

After submitting this online application, you will be directed to a page to pay your deposit online. Please have your credit card ready to make the payment, as there is a time limit on how long the payment page will stay open. Payments can also be made by card, cash, or check at the business office in the Church building, or checks can be mailed to International Affairs Study Abroad.

You will also be emailed a link to the Faculty Recommendation form to be shared with a faculty member, and a link to the Course Substitution form to be completed with your Academic Advisor.

If you are submitting this application and are under 18 years old, please contact the Director of International Programs.

Current date

Terms and conditions *

I agree to the above

Your full legal name *

Comments

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