Application for Short-Term Programs

Global Visitors Program Application
Ph: (001-814) 871-7480 | Fax: (001-814) 871-5323
global@gannon.edu | www.gannon.edu/international
$100.00 Deposit required to hold your seat in the program.

I am interested in the following : (Select One)

TOEFL PrepEnglish Language & American CultureCriminal Investigation/Cybersecurity Camp

Please Specify Other Program of Interest

Name of international agency who encouraged you to apply (if any):

Have you taken the TOEFL or IELTS?

YesNo

When

Score

Do you intent to pursue a degree at Gannon after the short – term program?

YesNo

Please indicate which program

Last Name (as it appears on your passport)

First Name (as it appears on your passport)

Home Country Address (please include U.S. address if you are currently in the U.S.)

City, State, Zip code

Country of Birth

Date of Birth (Month/Day/Year)

Country of Citizenship

Home Telephone number including Country Code

Gender

MaleFemale

Email Address

Gannon ID # (if aplicable)

Spouse’s name (if applicable)

Parent/Guardian’s name (if applicable)

I am an American National (U.S. citizen or permanent resident): (Select One)

YesNo

Native Language

Additional Language

Have you taken English-language training on a campus-based or ESL center?

YesNo

Dates Taken

Levels Attained

High School/Secondary School Attended

Date of High School Graduation

Name

City and Country

Colleges and Universities Last Attended

Name

City and Country

Degree

Dates Attended (from/to)

Have you applied to Gannon previously?

YesNo

Please list other universities to which you are applying: (for statistical purposes only, has no bearing on the admissions process)

Attention All Applicants

Privacy Rights Waiver

In accordance with the Buckley Amendment of the Family Education Rights and Privacy Act (FERPA) of 1974, we will not release any information regarding admission status, academic records, or financial aid to any persons other than the student applicant and to the U.S. federal government required by law. If the applicant is or will be 18 years of age during the admission process, Gannon University must have permission from the applicant to discuss these issues with parent(s), guardian or spouse. The student applicant must sign this waiver of privacy rights.

I waive my rights of privacy afforded to me by the Buckley Amendment and the Family Education Rights and Privacy Act.

I hereby certify that the information provided on this application is true and accurate to the best of my knowledge. (If the Office of Global Admission and Outreach finds any fraudulent information listed in this form, your application will be automatically canceled and marked for no further process of appeal or consideration)

Please Submit a copy of your passport, visa and current I-20 if applicable to international@gannon.edu after you submit your application

Application for Short-Term Programs

Camp Application Requirements

High School/Secondary School Attended

Colleges and Universities Last Attended

Attention All Applicants

Privacy Rights Waiver