Last Name 

Preferred First Name 

Local phone (cell #) 

Home phone (with area code) 

e-mail address (the one you actually use) 

Campus box # 

What is your class? Senior Junior Sophomore Freshman

Major 

Are you an International Studies or Area Studies minor?
If so, which one(s)? 

Which Sociology classes have you taken?

Which other countries have you been to, and for how long? 

Which languages -- other than english -- can you read? 

Which languages -- other than english -- can you speak? 

Were your mom or dad born in another country?
If so, which country? 

Do you have career plans that have an international component to them?  If so, what are they? 

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