Application for Puerto Rico Nursing Program Fall 2019

Last Name

FIrst Name

Ulink ID

Phone Number ex. 502-555-1234

What semester and year will you be in Fall 2019

What is your major / minor?

What is your current GPA?

Do you have a current passport?

YesNo

Have you traveled internationally before? If so, where, and for what purpose?

Why do you want to participate in this program?

Which faculty member would you like to use as your academic reference?

Do you have any physical conditions that could make it difficult for you to travel in a low resource area? (i.e., limited sanitation, walking greater than 1-2 miles in temperatures 90+ degrees, limited to no air conditioning, minimal food choices, etc.?)

What experiences with other cultures have you had, and how do you see this enhancing your personal development?

What concerns do you have participating in this type of program? (This will not penalize you in any way. - Please be honest in your reponse.)

Comments

Depending on the amount of applicants, we may require an interview. You will be required to purchase a travel insurance policy. We will give you information on how to do that at a low cost.

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Application for Puerto Rico Nursing Program Fall 2019

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