CCE 073 Orientation Registration

Thanks for signing up for a CCE orientation session. We will get in touch with you shortly.
Please RSVP for just one session*
Name*
First Middle Last
Email*
Grade level at time of submission*
- Freshman
- Sophomore
- Junior
- Senior
- Senior+
Expected Graduation Date:
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Term
Term*
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Year
Year*
What organization/group will you be traveling with?*
What is your home country?*
Organization/Group*
Department*
Plan Option*
Please specify what plan*
In which semester will you be completing the Cultural Course?*
Where will your Immersion Experience take place?*
City/State*
Country or Countries*
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Do you intend to complete your CCE 073 with a:
- Stateside experience
- Abroad experience
- Approved Alternate Plan
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Location of your Immersion Experience
List country or countries, or if in U.S., list city and state.
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What organization will you be traveling with?
• If none, enter "independent".
• If Asbury University, enter the specific department.
• If Alternate Plan, list the Plan Option you will be using.
Beginning Date of CCE*
MM slash DD slash YYYY
Ending Date*
MM slash DD slash YYYY
Three
This field is for validation purposes and should be left unchanged.