Incoming Exchange Students (Students coming to UNO on exchange from overseas)
* Please Select Your Program Aix en Provence BTU-Cottbus Charles University ECES Program Charles University Social Sciences Comenius University Czech Technical University Masaryk University MICEFA Middlesex University Philipps Universitat Marburg Rotterdam Conservatory Southern Cross University Universidade Federal of Bahia Universidad Diego Portales Universidad de Costa Rica Universitat Jaume I University of Orleans Universidad de Salamanca
Semester and Year for which you want to participate (check all that apply): Fall 2008 Spring 2009 Fall 2009 Spring 2010 Fall 2010 Spring 2011
*Last Name: *First Name: Middle Initial: Suffix:
U.S. Social Security Number (if you have one): Passport Number:
*Mailing Address: *City: State/Province: *Postal Code : Country:
Major Program of Study : University Classification: University Classification Freshman Sophomore Junior Senior Graduate Birthdate: Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month January February March April May June July August September October November December Year 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 Gender: Gender Male Female Ethnicity: Ethnicity Other White Non-Hispanic Black Non-Hospanic Hispanic Asian or Pacific Islander American Indian/ Alaskan Nativa Non-Resident Alien *Primary Phone: Evening Phone: Cell Phone: *E-mail: Alternate E-mail:
* = a required field
Contact in case of emergency:
Name: Relationship:
Address and/or phone, email, or other contact information:
Course Selection Plan
Enter your ideas for course selections here if you know them; if you do not, you should browse the UNO Course Catalog, then the UNO Course Bulletin when it becomes available. The Course Catalog is a master listing of all courses and is always available. The Bulletin is a specific listing of courses for each semester and is only available when the schedule is ready.
Comments Note here any special considerations, questions, etc. Questions needing immediate response should be emailed directly to isep@uno.edu
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