First/Last Name:                                                                                        
Cell phone number:                                                                                 
Email address:                                                                                           
Street Address:
City/State/Zip Code:
Major:
Minor:
GPA:

Please answer the following questions and limit your responses to all five questions to two pages.

What country(s) or areas of the world are you interested?

What do you expect to gain from participating in this experience?

How will you share your experiences abroad with the Chapter upon returning?

What does it mean to be a global citizen?

How would your academic major or area of study be impacted by this global experience?