Study Abroad Interest Form

Thank you for your interest in Mercy University Study Abroad! Please keep in mind that the interest form for Fall semester participation has a priority deadline of March 15 and the interest form for Spring semester participation has a priority deadline of October 1. You may direct any questions to studyabroad@mercy.edu.

Name*

First Name

Last Name

CWID *

How did you become aware of Study Abroad at Mercy College?*

PACT Mentor or HEOP Counselor Friend Staff / faculty member Requirement for my academic program International Student Services Attended an Information Session Poster / brochure / flyer Mercy website

Other:

What semester do you intend to study abroad?*

Fall 2024 (September-December) Spring 2025 (January-May)

Other:

Phone Number*

Personal Email Address*

Mercy Email Address*

Home address (permanent address)*

Address Line 1

Address Line 2

City

State

ZIP Code

Country

Primary campus (where you take majority of your classes)*

Dobbs Ferry Bronx Manhattan

Your current student status*

Residential: Dobbs Ferry (Hudson or Founders Hall) Commuter

Your student level*

Undergraduate student Graduate student

Your current major(s)*

Your expected graduation date*

Please describe any chronic health conditions, dietary considerations, special accommodations, or medications that you would want International Student Services and your host institution to be aware of. A medical clearance form from your physician may be required. Please note that other countries may not honor accommodations that are provided to students in the U.S. *

What is your status in the U.S.?*

U.S. citizen U.S. resident International student with an F-1 visa Student with another non-immigrant visa

Other:

Do you currently have a valid passport (unexpired)? *

Yes No

If you have a valid passport, what is the expiration date?

Do you have additional citizenships outside the U.S.? If so, which country?*

Please rank your top three countries (or geographic regions) where you would like to study. If you have a preference for certain institutions abroad, based on our available partnerships, please indicate those below.

Location / Institution Preference #1*

Location / Institution Preference #2

Location / Institution Preference #3

Please note that study abroad students pay tuition to Mercy College. Room and board are paid to the host institution. You will need to account for all travel, insurance, and living expenses. Scheduling an appointment with a Student Financial Services Counselor is required in order for you to understand how your existing financial aid package will apply to your study abroad tuition and other expenses. *

I understand the statement above.

In 3-5 paragraphs, please respond to the following items: 1) why you are interested in studying abroad, and how your academic background and personal experience has prepared you for this opportunity 2) how studying abroad will contribute to your future career and/or personal goals 3) any international travel experience you have had or any relevant language skills*