WINTHROP STUDY
ABROAD - APPLICATION
“SALAMANCA – 2004”
Name:
_________________________________________________________________
Home
Address:
__________________________________________________________
Home
Phone: ______________________________ Check appropriate category
____ College Freshman
School
Address: ____________________________ ____
College Sophomore
____ College Junior
School
Phone: ______________________________ ____ College Senior
____ Graduate Student
Birth
Date: ______/______/______ ____ other
_____________
Social
Security #:
____________________________
E-Mail__________________________________________________________________
Major: __________________________
Minor: _______________________
List
all College level Spanish courses you will have completed by June 2000. (Graduate students list only graduate level
courses completed).
COURSE GRADE SCHOOL
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
(Use
back of application if more space is needed)
Have
you ever studied or traveled outside of the USA? If so, explain briefly.
________________________________________________________________________
TOTAL PRICE OF THE PROGRAM: $3,200. Make checks payable to Winthrop University.
PAYMENT SCHEDULE AMOUNT DUE DATE
Application Fee (Non-refundable) $100 January 31, 2004
First Installment $1,000 March 3, 2004
Final Payment $2,100 April 28, 2004
APPLICATION DEADLINE: November 25th 2003