Study Abroad Intake Form | Georgia Gwinnett College

If you are interested in pursuing a study abroad program through GGC, please fill out the form below. A representative from the Office of Internationalization will get in touch with you to schedule an appointment time.

Student Background Information:

Student ID No.:*

Name:*

Classification:*

Freshman Sophomore Junior Senior

Date of Birth:*

Expected Date of Graduation:*

Major:*

Minor:

GPA:*

Faculty Mentor/Advisor:*

Email Address:*

Home Phone:

Cell Phone:

Current Address:

Current Street Address:*

Current Address City:*

Current Address State*

Current Address Zip Code:*

Permanent Address:

Permanent Address is same as Current Address?

Permanent Street Address:*

Permanent Address Line 2:

Permanent Address City:*

Permanent Address State:

Permanent Address Province/County:

Permanent Address Postal/Zip Code:*

Permanent Address Country*

Study Abroad Information:

Do you have a passport?*

Yes No

Passport Expiration Date:

Country That Issued Passport:

Country of Citizenship:*

Country (location) of Study Abroad Interest:

Semester/Year of Proposed Study Abroad:

Program Name:

Program Deadline:

Notes: