17吃瓜

Full Name:

Full Address:

Name:

Student ID:

Phone Number:

Email:

Street Address:

City:

State:

ZIP Code:

Program of Study:

Expected Graduation Date:

What are your personal and professional motivations for participating in this program?

What does the term “global citizen” mean to you?

Do you anticipate traveling or completing the global experience project locally?

If traveling, is there a specific trip/country in which you’re interested?

If completing the global experience project locally, do you have an idea for a theme or a topic you’d like to explore?

How did you hear about the 17吃瓜 Global Endorsement?

I agree to meet with the Global Endorsement advisor each semester to update my progress in the program.
I understand that in order to receive the Global Endorsement I must complete all aspects of the program.