UPPER IOWA UNIVERSITY

International Programs

* denotes required information

*First Name:

*Last Name:

*Date of Birth:

*Address 1:

Address 2:

*City:

*State/Province:

*ZIP/Postal Code:

*Phone Number:

*E-mail Address:

*Re-enter Email Address:

*UIU Program

*Major:

2nd Major/Minor:

*Year:
Freshman
Sophomore
Junior
Senior

*Academic Advisor's Name:

*Preferred Country:

*Do You Have A Passport:
Yes No

*Please write a brief paragraph on why you want to study abroad: