Exchange Student Demographic Information

Please transliterate all letters into English letters because the U.S. Government databases cannot accept accents or letters that are not in English. For example, the "u" with the umlaute should be written in English as "ue", ß should be written in English as "ss", etc.

First/Given Name

Please all names exactly as they appear on your passport *

Middle Name

Family/Last Name *

Home Institution *

Email address *

Date of birth * +

Legal Sex *

Male

Female

Terms of attendance *

Phone Number *

Address: Number *

Address: Street *

Address: City *

Address: Country *

Address: Postal Code *

Country of Birth *

Country of Citizenship *

How much financial support in USD will you receive from your government? *

How much financial support in USD will you receive from your home institution? *

How much financial support in USD will you and/ or your family provide? *

How much financial support in USD will you receive from other sources? *

Currently, what country are you physically present in? *

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