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APPLY
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Military Students
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Request Information
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Visit SBU
NYSACAC 2023
Affordability
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Student Financial Services
High School Junior Scholarship
Life at SBU
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Arts & Events
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Division I Athletics
Club Sports
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St. Bonaventure University
St. Bonaventure University
Academics
Experiential Learning
Study Abroad
Summer Study in Japan
Summer Study in Japan Application
Summer Study in Japan Application
PERSONAL INFORMATION
Last Name
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First Name
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Middle Initial
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Nickname (if applicable)
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Date of Birth
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Place of Birth
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City/State/Country
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Gender
Male
Female
Student ID #
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CURRENT MAILING ADDRESS
This address is valid through:
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(day/month/year)
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Street Address
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Box/Apt. No. (if applicable)
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City
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State
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ZIP Code
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PERMANENT MAILING ADDRESS
Street Address
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Box/Apt. No.
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City
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State
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ZIP Code
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CONTACT INFORMATION
Telephone
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Email
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ACADEMIC INFORMATION
Current Academic Status
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Overall GPA
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GPA in major
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Are you a HEOP student?
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No
Are you an Honors student?
Yes
No
What is your major?
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REFERENCES
Please list names and department affiliation of TWO St. Bonaventure faculty, staff or administration members who can attest to your academic and personal character. (At least one must be a faculty member.) Please inform both references that they will be contacted by Dr. Phillip Payne or Christopher Dalton of the SBU Department of History, coordinators of the Summer Study in Japan program.
1. Name
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2. Name
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Department
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Department
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PLEASE ANSWER THE FOLLOWING QUESTIONS
As a participant in Summer Study in Japan you will be outside your customary American medical care system, so please tell us about any condition, physical or emotional, for which you are being treated or for which you are taking medication.
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Enter "none" if this does not apply.
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Please list all medications you are currently taking.
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Enter "none" if this does not apply.
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Do you have dietary restrictions or food allergies?
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Please list restrictions/allergies or enter "none."
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AUTHORIZATION & INSTRUCTIONS
I ACKNOWLEDGE
that Dr. Phillip Payne and Christopher Dalton have my permission to verify my SBU academic and disciplinary records, including a full review of my transcript, and that
this application will not be complete until I have submitted a $250, non-refundable deposit.
* (Deposits may be made electronically on
my.sbu.edu
or by taking a check payable to St. Bonaventure University to the Business Office in Hopkins Hall.)
I have read and agree to the "Authorization and Instructions" provisions above.
*If you are not accepted to the Summer Study in Japan program your deposit will be refunded.
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