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Department of Spanish and Portuguese Languages and Cultures
APPLICATION FORM *MUST BE TYPED*
FRIDAY, FEBRUARY 20, 2015
Last Name: _______________________________First Name (given name): ____________________________
Nickname:____________________Class: _______________ Princeton Student ID #:_____________________
E-mail:_________________________GPA: _________ Residential College: ___________________________
Birthdate:___________________ Gender: M
F
1. Which program are you applying to (you may apply to more than 1 program, but 1 course per program):
Princeton in Argentina:
SPA 107S
SPA 342/LAS 342S
Princeton in Brazil:
POR 109S
POR 207S
Princeton in Spain:
SPA 207S
SPA 310S
If applying to more than 1 program which is your 1st, 2nd, or 3rd choice: Argentina
Brazil
(This will not affect your final decision. Also, you will only be accepted to ONE program.)
Spain
2. List Spanish and/or Portuguese courses completed at Princeton by May 2015 (list only course numbers):
3. If you have not taken any Spanish/Portuguese courses at Princeton, please indicate if you have fulfilled
the language requirement:
through the placement test
through AP or SAT (list your score here: _______)
4. Concentration (if decided), or concentrations you are considering:
1.__________________________
2.________________________ 3. ______________________
5. Certificates you are considering:
1.__________________________
2.________________________ 3. ______________________
6. Have you been subject to any disciplinary action at Princeton? ________. If yes, please explain on a
separate sheet.
Please note: A disciplinary record does not preclude approval to study abroad, but it will be reviewed by the Office of
International Programs to determine if the record warrants withholding approval.
Information from other offices at Princeton, e.g., residential colleges, Office of the Dean of Undergraduate Students,
University Health Services (with student’s consent) or others, may be requested as a part of the application review
process to ensure that all students can have a safe and productive international experience. This review will occur
again in May prior to the end of the semester.
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7. Are you on financial aid? ________. If yes, please attach a copy of the letter from the Financial Aid
Office that specifies the level of support you are currently receiving.
8. List other sources of funding for summer study abroad (family, savings, work in summer, Princeton U,
other), and amount expected from each source:
9. Do you have special needs? Please, specify:
10. Please indicate your housing preference (Princeton in Spain only):
Homestay
Dormitory
Applications are due by 5:00pm on Friday, February 20, 2015. Return this form, together with a current
transcript, a copy of your financial aid letter (if applicable) and one letter of recommendation (in a sealed
envelope) from a professor to: Nikki Woolward, 359 East Pyne. A non-refundable deposit is due when
accepted to the program. You will be billed through Student Accounts.
Signature: ________________________________
Date: ___________________________
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