LEAD Cape Town Step 1 of 4 - Personal Details 0% First Name (Preferred)* First Legal First Name*Legal Middle NameLegal Last Name*Email* Cell Phone*Date of Birth* MM DD YYYY What are the LAST FOUR digits of your Social Security Number?*This will serve as your password to your online portal. Gender*FemaleMaleInstagram handleEthnicity (Optional)I prefer not to answerAmerican Indian or Alaska NativeAsianBlack or African AmericanHispanic or LatinoNative Hawaiian or Other Pacific IslanderCaucasian or WhiteOtherCitizenship*Where is your primary citizenship?United StatesCanadaAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabweIf you are not a U.S. Citizen, are you a permanent resident of the United States?YesNoWhich LeadAbroad program are you applying for?*DIRECT Cape TownDIRECT Greece Session 1DIRECT Greece Session 2LEAD Cape TownLEAD GreeceGO BarcelonaGO RomePRO BarcelonaPRO Cape TownPRO Costa Rica Session 1PRO Costa Rica Session 2Which professional focus are you most interested in?Global HealthNursingPhysical TherapySubscription Status*Soft Opt-InHow did you first hear about LeadAbroad?*Greek Chapter SpeakingInstagramReferralWebsiteNew Member MeetingsLeadAgainFacebookOtherFriend who told you about LeadAbroad (optional) First Last I was signed up for a Summer 2020 LeadAbroad program and deferred my balance for a future trip.*YesNoI am receiving a direct transfer of deferred credit from a 2020 studentNoYesName of deferred student who is transferring their credit to me First Last I agree to all terms and conditions.*(Click on terms and conditions below for complete list)YesNoPlease thoroughly review LeadAbroad's terms and conditions .All students attending LeadAbroad programs must agree and abide by all company terms and conditions. Please contact our team before continuing your application. Permanent Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Emergency Contact 1 Name* First Last Emergency Contact 1 Relationship*Emergency Contact 1 Phone*Emergency Contact 1 Email* Emergency Contact 1 Address* Same as Permanent Address Entered Above Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Emergency Contact 2 Name First Last Emergency Contact 2 RelationshipEmergency Contact 2 PhoneEmergency Contact 2 Email Emergency Contact 2 Address Same as permanent address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Have you been convicted of a crime other than a minor traffic offense, or are any criminal charges now pending against you?*YesNoPlease provide details regarding this crime or criminal charges.Are you currently, or have you ever been, charged with, or subject to, disciplinary action for scholastic or any other type of misconduct at any educational institution?*YesNoPlease provide details regarding this misconduct and the corresponding disciplinary action. State where you graduated from high school*AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificOther/None of the AboveHigh school you graduated from (please enter the full formal name enter (for example, Example High School)*College / University*If school is not listed, select "Other".OtherAbilene Christian UniversityAdelphi UniversityAdrian CollegeAdrian CollegeAgnes Scott CollegeAlaska Pacific UniversityAlbertus Magnus CollegeAlbion CollegeAlcorn State UniversityAmarillo CollegeAmberton UniversityAmerican UniversityAmherst CollegeAngelo State UniversityAnne Arundel Community CollegeAppalachian State UniversityArizona State UniversityArkansas State UniversityArmstrong UniversityAsbury UniversityAshley ClayAuburn UniversityAugusta UniversityAugustana CollegeAustin CollegeAustin Graduate School of TheologyAustin Peay State UniversityAustin Peay State UniversityBabson CollegeBaker UniversityBall State UniversityBapson CollegeBarton CollegeBay Ridge Christian CollegeBaylor UniversityBellarmine UniversityBelmont UniversityBeloit CollegeBerry CollegeBethany CollegeBiloxi HighBinghamton UniversityBirmingham Southern CollegeBlack Hawk CollegeBlinn CollegeBloomsburg UniversityBoston CollegeBoston UniversityBowling Green State UniversityBowling Green State UniversityBradley UniversityBrandeis UniversityBrenau UniversityBridgewater State UniversityBroward Community CollegeBrown UniversityBryn Mawr and Haverford CollegesBucknell UniversityBuena Vista UniversityBuffalo State CollegeButler UniversityCabrini CollegeCal State Channel IslandsCalifornia Baptist UniversityCalifornia Polytechnic State University, San Luis ObispoCalifornia State UniversityCalifornia State University - PomonaCalvin CollegeCalvin CollegeCaly PolyCamden County CollegeCape Fear Community CollegeCapital UniversityCarl Sandburg CollegeCarnegie Mellon UniversityCarnegie-Mellon UniversityCarol Community CollegeCaroll UniversityCarroll CollegeCarson Newman CollegeCase Western Reserve UniversityCentral CollegeCentral Michigan UniversityCentral Piedmont Community CollegeCentral Western UniversityCentre CollegeChabbot CollegeChapman UniversityChicago State UniversityChrist College of Nursing and Health SciencesChristopher Newport UniversityClarion UniversityClark UniversityClarke CollegeClemson UniversityCleveland State UniversityCoastal Carolina UniversityCoe CollegeColgate UniversityCollege of CharlestonCollege of DuPageCollege of IdahoCollege of Lake CountyCollege of Saint BenedictCollege of Saint ElizabethCollege of Saint Thomas MoreCollege of Southern MarylandCollege of Southern NevadaCollege of the Holy CrossCollege of William and MaryCollin Community CollegeColorado CollegeColorado School of MinesColorado State UniversityColumbia College ChicagoColumbia UniversityColumbus State CollegeColumbus State UniversityCommunity College of Allegheny CountyCommunity College of PhiladelphiaConcordia UniversityCornellCornell UniversityCPCCCreighton UniversityCSU ChicoCuny Brooklyn CollegeCuyahoga Community CollegeCuyahoga Community College-Western CampusCypress Community CollegeDalhousie UniversityDallas BaptistDallas Christian CollegeDalton State CollegeDartmouth CollegeDavidson CollegeDaytona Beach Community CollegeDe Paul UniversityDekalb Early College AcademyDel Mar CollegeDelta CollegeDelta StateDenison UniversityDepauw UniversityDiablo Valley CollegeDickinson CollegeDoane CollegeDrake UniversityDrexel UniversityDruid Hills High SchoolDrury CollegeDuke UniversityDuquesne UniversityEast Carolina UniversityEast Tennessee State UniversityEast Texas Baptist UniversityEastern Carolina UniversityEastern Illinois UniversityEastern Kentucky UniversityEastern Michigan UniversityEckerd CollegeEdgewood CollegeEdinboro UniversityEdinboro University of PennsylvaniaEdith Cowan UniversityEl Paso Community CollegeElizabethtown CollegeElon CollegeElon UniversityEmerson CollegeEmmanuel UniversityEmory UniversityFairfield UniversityFerris State UniversityFlorida A & M UniversityFlorida Community College at JacksonvilleFlorida Gulf Coast UniversityFlorida International UniversityFlorida State UniversityFordham UniversityFramingham State UniversityFranklinFranklin & Marshall CollegeFranklin and Marshall CollegeFreed-Hardeman UniversityFullerton CollegeFurman UniversityGaffny High SchoolGainesville State CollegeGeorge MasonGeorge Washington UniversityGeorgetown UniversityGeorgia College and State UniversityGeorgia Gwinnett CollegeGeorgia Highlands CollegeGeorgia Institute of TechnologyGeorgia Perimeter CollegeGeorgia Southern UniversityGeorgia State UniversityGettysburg CollegeGolden Gate UniversityGrambling UniversityGrand Rapids Community CollegeGrand Valley State UniversityGrossmount CollegeGuilford CollegeGustavus Adolphus CollegeGwynedd Mercy UniversityHampton UniversityHanover CollegeHardin- Simmons UniversityHardin-Simmons UniversityHarrisburg Area Community Collegeharvard universityHastings CollegeHenderson State UniversityHendrix CollegeHenry Ford Community CollegeHigh Point UniversityHillsborough Community CollegeHinds Community CollegeHolmes Community CollegeHomer High SchoolHope CollegeHopewell AcademyHouston Baptist CollegeHouston Community CollegeHoward Community CollegeHoward Payne UniversityHoward UniversityIdaho State UniversityIllinois State UniversityIllinois Wesleyan UniversityIndiana State UniversityIndiana UniversityIndiana University - BloomingtonIndiana University Fort WayneIndiana University of PennsylvaniaIndiana University Purdue University ColumbusIndiana University Purdue University of IndianapolisIndiana University-Purdue University Fort WayneIndiana-Purdue UniversityIowa State UniversityItawamba Community CollegeIthaca CollegeIUPUIJackson Community CollegeJackson Community CollegeJacksonville State UniversityJacksonville UniversityJames Madison UniversityJarvis Christian CollegeJefferson Community CollegeJohn Carroll UniversityKansas StateKansas State UniversityKean UniversityKennesaw State UniversityKent State UniversityKentucky Wesleyan CollegeKenyon CollegeKirkwood Community CollegeKutztown UniversityLa Grange CollegeLafayette CollegeLaGrange CollegeLake Superior CollegeLamar UniversityLansing Community CollegeLaSalle UniversityLawrence UniversityLawrence UniversityLee UniversityLehigh UniversityLesley UniversityLewis-Clark State CollegeLincoln UniversityLipscomb UniversityLock Haven University of PennsylvaniaLonestar CollegeLong Beach State UniversityLongwood UniversityLoras CollegeLouisiana State UniversityLouisiana Tech UniversityLoyola Marymount UniversityLoyola UniversityLubbock Christian UniversityLycoming CollegeLynchburg CollegeMacaleseter CollegeMacon State CollegeMadison Area Technical CollegeManhattan CollegeMarietta CollegeMarquette UniversityMars Hill CollegeMarshall UniversityMarygrove CollegeMassachusetts College of Pharmacy and Health SciencesMassachusetts Institute of TechnologyMcNeese State UniversityMercer UniversityMeredith CollegeMerrimack CollegeMesa Community CollegeMetro Resource CenterMetropolitan State College of DenverMiami Dade College - N. CampusMiami University of OhioMiami-Dade College - Kendall CampusMichigan State UniversityMiddle Georgia CollegeMiddle Tennessee State UniversityMiddlebury CollegeMidlands Technical CollegeMidwestern State UniversityMillersville UniversityMilwaukee Area Technical CollegeMinnesota State University, MankatoMississippi CollegeMississippi State UniversityMissouri State UniversityMissouri UniversityMissouri University of Science and TechnologyMondale High SchoolMontana State UniversityMontgomery CollegeMoraine Valley Comm. CollegeMorehead State UniversityMorgan State UniversityMount St. Mary's CollegeMount Union CollegeMuhlenberg CollegeMurray State UniversityN.C. A&T State UniversityNassau Community CollegeNew Jersey City UniversityNew Mexico State UniversityNew York UniversityNicholls State UniversityNorfolk State UniversityNorfolk State UniversityNorth American CollegeNorth Carolina Agricultural and Technical State UniversityNorth Carolina Central UniversityNorth Carolina State UniversityNorth Central CollegeNorth Georgia College and State UniversityNorth Harris CollegeNorthcentral UniversityNortheast Community CollegeNortheast Louisiana UniversityNortheastern Illinois UniversityNortheastern State UniversityNortheastern UniversityNorthern Arizona UniversityNorthern Illinois UniversityNorthern Kentucky UniversityNorthern Michigan UniversityNorthwest Florida State CollegeNorthwest Mississippi Community CollegeNorthwest Vista collegeNorthwestern State UniversityNorthwestern UniversityNorthwood UniversityNova Southeastern UniversityOakland City UniversityOakland UniversityOakton Community CollegeOakwood UniversityOberlin CollegeOglethorpe UniversityOhio State UniversityOhio UniversityOhio Wesleyan UniversityOklahoma State UniversityOregon State UniversityOtherOur Lady of the LakePalm Beach Community CollegePark UniversityPennsylvania State UniversityPennsylvania State University Capital CollegePensacola Junior CollegePepperdine UniversityPoint Loma CollegePortland State UniversityPrairie Veiw A&M UniversityPresbyterian CollegePulaski TechPurdue UniversityPurdue University Calumet CampusQueens CollegeQueens UniversityQuincy UniversityQuinnipiac UniversityRadford UniversityReed CollegeRelay Graduate School of EducationRhodes CollegeRhodes UniversityRice UniversityRichard Stockton College of New JerseyRichland CollegeRochester Institute of TechnologyRoger Williams UniversityRollins CollegeRowan UniversityRust CollegeRutgersSacred Heart UniversitySaint Edwards UniversitySaint Joseph CollegeSaint Joseph's UniversitySaint Louis UniversitySaint Mary's CollegeSalem CollegeSalisbury UniversitySam Houston State UniveristySamford UniversitySan Antonio CollegeSan Diego State UniversitySan Ignacio UniversitySan Jose State UniversitySanta Fe Community CollegeSanta Rosa Junior CollegeSavannah College of Art and DesignSayreville War MemorialSchool of Visual ArtsSeattle universitySeton Hill UniversitySewanee UniversitySFCCShenandoah UniversityShepherd UniversitySiena Heights UniversitySimmons CollegeSinclair Community CollegeSlippery Rock UniversitySmith CollegeSouth Plains CollegeSoutheast Missouri StateSoutheastern Louisiana UniversitySouthern Arkansas UniversitySouthern Illinois UniversitySouthern Methodist UniversitySouthern Mississippi UniversitySouthern Nazarene UniversitySouthern Polytechnic State UniversitySouthern UniversitySouthwesternSpring Hill CollegeSt. Cloud State UniversitySt. Edward's UniversitySt. Edward's UniversitySt. John's UniversitySt. Mary's College of CaliforniaSt. Mary's University, TexasSt. OlafSt. Xavier UniversityStanford UniversityState University of West GeorgiaStephen F. Austin State UniversityStetson UniversityStrayer UniversityStrayer UniversityStrayer UniversitySul Ross State UniversitySUNY FredoniaSusquehanna UniversitySwarthmore CollegeSyracuse UniversityTacoma Community CollegeTarleton State UniversityTarrant County CollegeTechnical College of the LowcountryTemple UniversityTennessee State UniversityTennessee Tech UniversityTexas A M UniversityTexas A M University-CommerceTexas Christian UniversityTexas Lutheran UniversityTexas Southern UniversityTexas State UniversityTexas State University–San MarcosTexas TechTexas Woman's UniversityThe Catholic University Of AmericaThe CitadelThe College of New JerseyThe College of WoosterThe New SchoolThiel CollegeTowson UniversityTransylvania UniversityTrident Technical CollegeTrinity UniversityTriton CollegeTroy UniversityTufts UniversityTulane UniversityTusculum CollegeTyler Junior CollegeUC BerkeleyUCLAUniversity at AlbanyUniversity of AkronUniversity of AkronUniversity of AlabamaUniversity of Alabama - BirminghamUniversity of Alabama - HuntsvilleUniversity of ArizonaUniversity of ArkansasUniversity of BridgeportUniversity of British ColumbiaUniversity of CalgaryUniversity of CaliforniaUniversity of California - BerkeleyUniversity of California - BerkleyUniversity of California - DavisUniversity of California - IrvineUniversity of California Los AngelesUniversity of California Santa BarbaraUniversity of Central ArkansasUniversity of Central FloridaUniversity of ChicagoUniversity of CincinnatiUniversity of ColoradoUniversity of Colorado Colorado SpringsUniversity of ConnecticutUniversity of Connecticut, StoUniversity of Connecticut, StorrsUniversity of DaytonUniversity of DelawareUniversity of DenverUniversity of FloridaUniversity of GeorgiaUniversity of HartfordUniversity of HoustonUniversity of HoustonUniversity of Houston - Clear LakeUniversity of Houston DowntownUniversity of IdahoUniversity of IllinoisUniversity of Illinois at ChicagoUniversity of IndianaUniversity Of IowaUniversity of KansasUniversity of KentuckyUniversity of LondonUniversity of Louisiana - LafayetteUniversity of Louisiana - LafayetteUniversity of Louisiana at MonroeUniversity of LouisvilleUniversity of MarylandUniversity of MassachusettsUniversity of MemphisUniversity of MetevalloUniversity of MiamiUniversity of MichiganUniversity of Michigan-DearbornUniversity of MinnesotaUniversity of Minnesota - DuluthUniversity of MississippiUniversity of MissouriUniversity of Missouri - St. LouisUniversity of MobileUniversity of MontanaUniversity of MontevalloUniversity of NebraskaUniversity of Nebraska - OmahaUniversity of Nebraska at KearneyUniversity of Nebraska OmahaUniversity of NevadaUniversity of Nevada–Las VegasUniversity of Nevada–RenoUniversity of Nevado-RenoUniversity of New HampshireUniversity of New HavenUniversity of New MexicoUniversity of New OrleansUniversity of North AlabamaUniversity of North CarolinaUniversity of North Carolina - AshevilleUniversity of North Carolina - WilmingtonUniversity of North Carolina - WilmingtonUniversity of North Carolina at GreensboroUniversity of North Carolina-CharlotteUniversity of North Carolina-CharlotteUniversity of North FloridaUniversity of North GeorgiaUniversity of North TexasUniversity of Northern ColoradoUniversity Of Northern IowaUniversity of Notre DameUniversity of OklahomaUniversity of OregonUniversity of OregonUniversity of PennsylvaniaUniversity of PittsburghUniversity of Puget SoundUniversity of ReginaUniversity Of Rhode IslandUniversity of RichmondUniversity of RochesterUniversity of Sioux FallsUniversity of Sourthern CaliforniaUniversity of South AlabamaUniversity of South AlabamaUniversity of South AlabamaUniversity of South CarolinaUniversity of South Carolina - UpstateUniversity of South Carolina at BeaufortUniversity of South DakotaUniversity of South FloridaUniversity of South Florida/St. PetersburgUniversity of Southern CaliforniaUniversity of Southern IndianaUniversity of Southern MississippiUniversity of Southern NevadaUniversity Of Southwestern LouisianaUniversity of St. ThomasUniversity of TampaUniversity of Technology SydneyUniversity of TennesseeUniversity of Tennessee - ChattanoogaUniversity of TexasUniversity of Texas - ArlingtonUniversity of Texas at San AntonioUniversity of Texas at TylerUniversity of Texas Pan AmericanUniversity of Texas/DallasUniversity of the SouthUniversity of the Virgin IslandsUniversity of ToledoUniversity of TulsaUniversity of UtahUniversity of VermontUniversity of VirginiaUniversity of WashingtonUniversity of West AlabamaUniversity of West FloridaUniversity of West GeorgiaUniversity of WisconsinUniversity of Wisconsin - LacrosseUniversity of Wisconsin - OshkoshUniversity of Wisconsin - StoutUniversity of Wisconsin at MilwaukeeUniversity of Wisconsin StoutUniversity of Wisconsin SuperiorUniversity of Wisconsin, WhitewaterUniversity of Wisconsin-Eau ClaireUniversity of Wisconsin-PlattevilleUniversity of WyomingUS Naval AcademyValdosta State UniversityValencia CollegeValencia Community CollegeVanderbilt UniversityVCUVillanova UniversityVillanova UniversityVincennes UniversityVirginia Commonwealth UniversityVirginia TechVoorhees CollegeWabash CollegeWabash CollegeWake Forest UniversityWalden Universitywalter state community collegeWashington & Jefferson CollegeWashington and Jefferson CollegeWashington and Lee UniversityWashington State UniversityWashington UniversityWashtenaw Community CollegeWaubonsee Community CollegeWayne State UniversityWayne State UniversityWest Chester UniversityWest Liberty UniversityWest Virginia UniversityWest Virginia UniversityWestern Carolina UniversityWestern Illinois UniversityWestern Kentucky UniversityWestern Michigan UniversityWestern Nebraska Community CollegeWestern Nevada CollegeWestern New Mexico UniversityWestern Washington UniversityWestminster CollegeWestmont CollegeWhitman CollegeWhittier CollegeWhitworth UniversityWichita State UniversityWidener UniversityWilliam and Mary UniversityWilliam R. Harper CollegeWingate UniversityWinthrop UniversityWittenberg UniversityWittenberg UniversityWoffordWofford CollegeWorchester State UniversityWright State UniversityXavier UniversityYork College of PennsylvaniaYoungstown State UniversityCollege / University (other)Current Year in School*1st Year2nd Year3rd Year4th Year5th YearCumulative GPA*If you are in your first semester of school and/or don’t have a GPA yet, please enter 0.0. LeadAbroad will request a transcript at the end of this semester to confirm you meet the grade requirement of 2.0.Please enter a value between 0.00 and 4.00.Major*If major is not listed, select "Other".OtherAccountingAdvertisingAgricultureAnthropologyArchaeologyArchitectureArt HistoryBiochemistryBiological SciencesBroadcast JournalismBroadcast NewsChemistryChild and Family DevelopmentCommunicationsComputer and Information SciencesCriminal JusticeEconomicsEducationEngineeringEnglishEnglish Language and LiteratureExercise ScienceFamily and Consumer SciencesFinance and BankingForeign LanguageGeneral BusinessGermanHealth ProfessionsHistoryHuman DevelopmentHuman ResourcesInsurance and Risk ManagementInterior DesignInternational AffairsInternational BusinessInternational StudiesJournalismLandscape ArchitectureLiberal Arts and SciencesManagement and Information SystemsMarine BiologyMarketingMathematicsMISMusic and DanceNatural Resources and ConservationNursingNutritionOtherPark, Recreation, and FitnessPathologyPharmacyPharmacyPhilosophy and ReligionPhotographyPhysical SciencesPhysicsPolitical SciencePre-medPre-physical therapyPsychologyPublic Administration and ServicesPublic RelationsReal EstateReligionRetail/MerchandisingSecurity and Protective ServicesSocial SciencesSocial WorkSpeech CommunicationSports CommunicationUndecidedVeterinarian SciencesMajor (other)When do you expect to graduate?*December 2020May 2021Summer 2021December 2021May 2022Summer 2022December 2022May 2023Summer 2023December 2023May 2024Summer 2024December 2024May 2025Summer 2025December 2025May 2026Summer 2026December 2026Are you a member of a Greek organization?*YesNoWhich Greek organization are you a member of or currently rushing?Select your organization hereAlpha Chi LambdaAlpha Chi OmegaAlpha Delta ChiAlpha Delta PhiAlpha Delta PiAlpha Delta XiAlpha Epsilon OmegaAlpha Epsilon PhiAlpha Epsilon PiAlpha Gamma AlphaAlpha Gamma DeltaAlpha Gamma RhoAlpha Gamma SigmaAlpha Kappa AlphaAlpha Kappa Delta PhiAlpha Kappa LambdaAlpha Kappa PsiAlpha Omega EpsilonAlpha Omega PiAlpha Omicron PiAlpha PhiAlpha Phi AlphaAlpha Phi GammaAlpha Phi OmegaAlpha Pi OmegaAlpha PsiAlpha Sigma AlphaAlpha Sigma PhiAlpha Sigma TauAlpha Sigma UpsilonAlpha Tau OmegaAlpha Xi DeltaAlpha Xi DeltaBeta Beta BetaBeta Beta BetaBeta Sigma PsiBeta Theta PiBeta Upsilon ChiBeta XiChi Beta EpsilonChi Delta TauChi OmegaChi PhiChi PsiChi Upsilon SigmaDelta ChiDelta Chi LambdaDelta Delta DeltaDelta GammaDelta Kappa EpsilonDelta Lambda PhiDelta Phi EpsilonDelta PsiDelta Sigma PhiDelta Sigma PiDelta Sigma ThetaDelta Tau DeltaDelta Tau LambdaDelta Theta PsiDelta UpsilonDelta ZetaEpsilon Iota PsiFarmhouseFIJIGamma Alpha OmegaGamma Phi BetaGamma Rho LambdaGamma Sigma SigmaIota Chi RhoIota Phi ThetaKappa AlphaKappa Alpha OrderKappa Alpha PsiKappa Alpha ThetaKappa Beta GammaKappa DeltaKappa Delta ChiKappa Delta RhoKappa Kappa GammaKappa Phi LambdaKappa SigmaLambda Chi AlphaLambda Phi EpsilonLambda Phi EpsilonLambda Sigma PhiLambda Theta AlphaLambda Theta PhiMu Sigma UpsilonNo Greek AffiliationNoneNorthwest Mississippi Community CollegeOmega Delta PhiOmega Gamma PiOmega PhiOmega Phi AlphaOmega Psi PhiOtherPhi Beta ChiPhi Beta SigmaPhi Delta KappaPhi Delta ThetaPhi Gamma DeltaPhi Iota AlphaPhi Kappa PsiPhi Kappa SigmaPhi Kappa SigmaPhi Kappa TauPhi Kappa ThetaPhi MuPhi Mu Alpha SinfoniaPhi Sigma ChiPhi Sigma KappaPhi Sigma RhoPhi Sigma SigmaPi Alpha PhiPi Beta ChiPi Beta PhiPi Kappa AlphaPi Kappa PhiPi Sigma EpsilonPsi UpsilonSigma AlphaSigma Alpha EpsilonSigma Alpha MuSigma Beta RhoSigma ChiSigma Delta RhoSigma Delta TauSigma Gamma RhoSigma KappaSigma Lambda BetaSigma Lambda GammaSigma NuSigma Phi BetaSigma Phi DeltaSigma Phi EpsilonSigma Phi ZetaSigma PiSigma Sigma SigmaSigma Tau GammaSigma Theta TauTau Epsilon PhiTau Kappa EpsilonThe LodgeTheta ChiTheta Delta ChiTheta Nu XiTheta Phi AlphaTheta PiTheta TauTheta XiTriangleZeta Beta TauZeta ChiZeta Phi BetaZeta PsiZeta Sigma ChiZeta Tau AlphaAre you in a leadership position on campus?*YesNoWhat is your role(s)? Which organization(s)?Do you have a roommate in mind?*Select oneI have a roommate in mindI don't - LeadAbroad will use its match-making skills to find you an amazing roommate!Potential Roommate #1 - NamePotential Roommate #1 - Phone NumberPotential Roommate #2 - NamePotential Roommate #2 - Phone NumberPlease indicate below the TWO course disciplines you are most interested in taking while in Rome. If you plan to swap an academic course for the professional program (PRO Track), please make that one of your selections. This is just to gauge interest. You will have the opportunity to officially request your classes or the PRO track after acceptance on the academic form.* PRO Track (swap an academic class for the professional experience) Communications Art History Culture Business Food How do you plan to leverage your upcoming international experience to further your collegiate and professional goals? (300 Characters or fewer)What do you hope to get out of your experience? (300 Characters or fewer)Please select the #1 reason you're interested in joining a LeadAbroad programThe support from LeadAbroad staff provided before, during and after the abroad experience.The opportunity to travel and connect with students from many different universities- not just my own.The curriculum, personal development and intentional reflection during the experience.The unique opportunity to serve abroad.My parents like the measures LeadAbroad takes to keep students safe.The epic adventures that are offered outside of the classroom.My friends are going.I googled "study abroad" and LeadAbroad popped up. On a scale of 1-10, how excited are you about this summer?!!!10987654321I understand and agree to the LeadAbroad refund schedule and confirm by initialing below.*- Withdrawal before THE EARLIER OF 30 days after program acceptance (or conditional acceptance) OR January 1: All payments except $150 application fee are refunded. - Withdrawal on or after January 1 but before February 1: All payments except for $500 are refunded. - Withdrawal on or after February 1 but before 60 days prior to program start date: All payments except for $2,000 are refunded. - Withdrawal within 60 days of program start date: No refund. The application process is almost complete! Once you click the orange NEXT button on this screen, you'll be taken to the last page. It's very important to complete this last step or your application information will be lost. The last step is to complete the checkout page (example below). At this time, you have two options: 1.) Pay your program fee now OR 2.) Pay your program fee later. In both cases, you must complete this page to complete your application. There are four sections: Billing Details: If you are paying your program fee now by credit card, this information needs to match the credit card name and billing details for the credit card. Otherwise, if you select pay later, you can enter your personal details in this section. Payment Timing: Select whether you would like to pay your program fee now or pay later. Payment Method: If you select pay now, you are able to pay by credit card (Discover, MasterCard or Visa accepted) or eCheck. If you select pay later, this section is not required. Your Order (confirmation): Review your order and click the orange button to complete the application process. Remember, be sure to complete this last page to complete your applications and secure your spot. Thanks! (EXAMPLE BELOW) Subtotal Options Total Prepay At A Discount: $7,900.00 LEAD Cape Town Next SKU: AAA - LEAD Cape Town Category: Uncategorized
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