International Student Center
Study Abroad Programs
304 Aquinas Hall
Phone: (412) 578-6010
Fax: (412) 578-8722
Email: nesgodajl@carlow.edu

Carlow In Rome 2008-2009: 
Preliminary Application Form

If you want to participate in the Carlow-sponsored program at the American University in Rome (AUR) during the 2008-2009 academic year, please fill out the following preliminary application form and submit it to the International Student Center by clicking the "Submit" button at the end of this form.

Personal Data
Last Name:
First Name:
Middle Name:
Birth Date:
Gender: Female Male
Local Address:
Address 1:
Address 2:
City:
State:
Zipcode:
Local Phone #:
Home Address:
Address 1:
Address 2:
City:
State:
Zipcode:
Home Phone #:
Email 1:
Email 2:

Academic Data
Carlow ID:
Current Status: FR 1 FR 2  SO 1 SO 2  JR 1  JR 2 SR1 SR2 GR
Expected Date of Graduation:  
Major 1:
Major 2:
Minor 1:
Minor 2:
Advisor 1:
Advisor 2:
Cumulative GPA:

Language & Travel Data
Have you ever studied a foreign language? Yes No
If you have studied a foreign language, where did you study?
   In High School Language 1: Number of years
Language 2: Number of years
   In College Language 1: Number of years
Language 2: Number of years
Would you be interested in studying Italian at Carlow before attending AUR?
   Yes No   
            
Have you ever traveled to another country?     
   Yes No Which countries? For how long and for what purpose?

Financial Data
Indicate the sources of income you will use to cover your expenses while at AUR:
   Your savings
   Parents        
   State and Federal Financial Aid 
   Carlow Financial Aid
   Other,        please specify 

Study Abroad Data
What classes would you like to take at the American University of Rome?
You must take between 12-15 credits. Please check the AUR catalog for current offerings at:
http://www.aur.edu/academics/course_search_registration.html
When would you like to study abroad?