Study Abroad Application

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Academic Advising: Before submitting a Study Abroad Application form, you are strongly encouraged to consult with your academic advisor regarding your choice of study abroad program as related to your academic goals.

Please make sure your name will match your passport exactly.

Date

First & Middle Name

Last Name

Student ID Number

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Date of Birth

Sex

Drury Email Address

Country of Citizenship

Study Abroad Information

If your preferred program doesn't appear on a list, that program is full.

Application for Semester

Semester Year

Please select one program from the list below:

Academic Information

Academic Major(s)

Academic Advisor

Credit Hours Completed

Cumulative GPA

What will be your academic standing when you participate in this program?

Breech majors: Do you want this trip to count as:

BADM 205
BADM 206
BADM 207
N/A

(If yes, must also complete the Breech Study Abroad Application) For more information you can visit the Breech Dean’s Suite in the OBT.

Health Insurance

All participants in Drury semester and short-term programs are required to purchase the study abroad health insurance provided by our international health insurance provider.

Health Insurance Company

Name of Policy Holder

Policy Number

Is your insurance valid internationally?

Emergency Contact Information

Note for undergraduate students: This contact must be your parent or guardian.

Name of Parent/Guardian

First

Last

Address of Parent or Guardian

Address Line 1

Address Line 2

City

State

Zip Code

Parent/Guardian Phone

Parent/Guardian Cell Phone

Parent/Guardian Email Address

Student Consent

Please check the box below after reading the following paragraph.

I, the undersigned, understand that the study abroad program I am pursuing through this application is part of my regular academic program, and that I am bound by both Drury's regulations and by those of the study abroad program for which I am applying. For an affiliated program, I must take a leave of absence from Drury University. In signing below, I also understand that I hereby grant permission to Drury University to send to the above named "parent/guardian" and any study abroad affiliate information regarding the Study Abroad Program for which I am applying and relevant personal data to facilitate my participation in it.

Student Signature

First

Last

(This approval is dependent on the student being in good standing with the offices of the Dean of Students and Academic Dean and meeting the requirements for enrolling in the program.)