Study Abroad Interest Form

Please complete this form to express your interest in a future study abroad experience during time at Merrimack. You can view additional information about abroad opportunities on the Global Education website. If you have any questions, please reach out to globalmerrimack@merrimack.edu.

Personal Information

Merrimack ID*

First Name*

Last Name*

Merrimack Email Address*

Passport Information

Note: your passport must be valid for six months from your date of departure. If you do not have a valid passport, please consult the information on this page and apply for a new passport or renewal ASAP.

Do you have a valid passport?*

Yes

No

If you do not have a valid passport, you must apply for one in order to study abroad. Please note that typical processing times for US passports are between 8 - 11 weeks, but can often be much longer. Do not wait and be sure to apply as soon as possible! Visit this page to learn how to apply for a US passport.

Nationality*

Passport Number*

Passport Expiration Date*

Please upload a copy of the bio page of your passport if you have it readily available (optional)

Academic Information

Current Major*

Second Major (if applicable)

Class Standing*

Anticipated Graduation Semester*

Anticipated Graduation Year*

Academic Advisor Name*

I have discussed my intention to study abroad with my academic advisor:*

Yes

No

Anticipated schedule abroad (check all that apply)*

I would like to enroll in courses that will count towards my major

I would like to enroll in courses that will count towards my minor

I would like to enroll in courses that satisfy General Education requirements

I would like to enroll in courses that will count as general electives

I would like to pursue an internship

Study Abroad Opportunities

What type of study abroad experience are you interested in?

Short-Term Faculty Lead Program

Semester Long Program

International Service Trip

Anticipated Semester for Abroad Experience*

Anticipated Year for Abroad Experience*

What questions do you have about Global Education at Merrimack? (optional)

Permanent Address

Merrimack College Navigation

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Study Abroad Interest Form