Study Abroad/Internship Program Application


Printable Application (PDF)

Short Term Program Application (PDF)


Fall programs application deadline: March 15
Spring programs application deadline: October 15
*Spring semester Berlin program deadline: October 1
**Spring semester Italy program deadline: August 1

• A $25 deposit is due upon submission of application.
• Accepted students owe a $475 deposit by March 15 for fall or October 15 for spring.
• Submit cash/check payments directly to the Study Abroad Office; Credit card/e-check payments must be made on-line at www.lvc.edu/business-office/epayments, select ‘Study Abroad Deposit’ from the drop-down.

PROGRAM INTEREST
Program year: 20 Program Semester:


Select Program Desired:













PERSONAL INFORMATION
*First Name: 
*Last Name: 
Age: 
Date of Birth: 
Place of Birth: 
Are you a:

*Student ID #:
*Campus/Current Address: 
*City: 
*State:          *Zip: 
*Telephone: 
*Email Address: 
Permanent Address: 
City: 
State:          Zip: 
Telephone: 
Parent(s)/Guardian(s) Name: 
Parent(s)/Guardian(s) Address: 
City: 
State:          Zip: 
Telephone: 

LEBANON VALLEY COLLEGE SPECIFIC INFORMATION
Major Field of Study:
Minor(s):
Current Classification:






Classification at beginning of proposed Study Abroad Program:





Overall GPA:
GPA in Major:

ACADEMIC ADVISOR SIGN OFF
Advisor's Name (1):
Advisor's Name (1):
Important: Please check the scholarship(s) that you currently receive from
Lebanon Valley College:






* Tuition exchange and International student grat recipients are not eligible for LVC scholarships for these programs.
* Tuition remission recipients are only eligible for partial tuition benefit for these programs.
* President's Award recipients will only receive 1/2 tuition benefit for
off-campus programs.
Have you Studied Abroad or participated in either the Philadelphia Center or Washington D.C.
Semester program as an LVC student?
APPLICATION FOR ADMISSION TO AN LVC STUDY ABROAD PROGRAM
A.Please write a brief autobiographical sketch that includes factors which have influenced your personal development (your personal history, family background, work experience, travel experience). Also, include what you hope to accomplish during your study abroad or internship program, and how you hope to incorporate the experience into further academic or career plans.

B.All participants have strengths and weaknesses relevant to their participation in the program. Please list yours.

Strengths:

Weaknesses:
For our records, please tell us how you found out about this program: 
May the Study Abroad Office release your name and address to present or potential participants?

UNDERSTANDING
By checking this box and submitting this on-line application, I signify the information is to the best
of my knowledge and belief, accurate and correct. I understand that Lebanon Valley College has the
right to deny admission to an off-campus program based upon my academic and/or social records
at Lebanon Valley College.