VIETNAM - SINGAPORE Global Lab 2018Application Form

VIETNAM-SINGAPORE GLOBAL LAB | January5-19, 2018
Application Form

Instructions

  • Please complete and submit your application form by SEPTEMBER 25, 2017.
    Please TYPE your responses; save as word docx and send by e-mail to Sarah Wing at
  • Program is only open to SENIOR business and economics students (including IBE and CSB students)
  • Incomplete or handwritten application forms will not be considered
  • All complete applications will be reviewed and students may be interviewed as part of the selection process. Interviews will be held on a rolling basis and scheduled directly by Sarah Wing with the student.
  • Final decisions and offers will be made by mid-October 2017.
  • All offers are contingent on satisfactory academic and disciplinary standing.
  • Limited Travel Grants are available to students that demonstrate financial need.
    More information on how to apply can be found on the program webpage at go.lehigh.edu/VietnamSingapore

Any questions about the program, please contact Sarah Wing at

Please write VIETNAM-SINGAPORE 2018 in the subject bar.

FULL NAME (Include First, Middle and Last name):

Last 4 digits of LIN #
Date of Birth: (mm/dd/yyyy)

Cell Number:

Lehigh Email Address:

Other Email Address (if applicable):

For all multi-choice questions, highlight applicable answer or you may simply delete all non-applicable answers

Citizenship

  • US Citizen
  • Permanent US Resident
  • Other: - please indicate if you hold a J1 or F1 VISA

Yes. Please indicate type of VISA and expiration date (MM/DD/YYYY) ______

No

PASSPORT INFORMATION

Do you hold a valid Passport?

  • Yes
  • No

Please specify where passport was issued.

  • US Passport
  • Non-US Passport. Please state country of Origin______

If known- Expiration Date (dd/mm/yyyy)______

Have you traveled outside of the USA?

  • Yes
  • No

If answered YES, briefly describe where you have traveled; purpose of travel and year.

MGT 301 Capstone Course. Please check one of the following

  • I plan to register / Currently taking MGT 301 Fall Semester 2017
  • I plan to register for MGT 301 in Spring Semester 2018
  • I have already taken MGT 301
  • N/A. I am a IBE / CSB student

Major(s):

Minor(s):

Expected date of graduation: Jan, 2018 | May, 2018 | Other (specify) ______

How did you hear about the Vietnam-Singapore Global Lab? (friend, website,presentation)

PARENT/GUARDIAN 1 | Contact Information

Name (First Last):

Relationship:

Cell Number:

Email Address:

Please use as my Emergency Contact.Yes / No

Optional:

PARENT/GUARDIAN 2 | Contact Information

Name (First Last):

Relationship:

Cell Number:

Email Address:

Please use as my Emergency Contact. Yes / No

I certify that the information I have provided on this application form is correct. I understand I must keep the Global Initiatives Office and the CBE Undergraduate Center updated on any changes to my study abroad plans and / or my status at Lehigh University.

Print name: ______Electronic Signature ______Date______