Outgoing Study Abroad Application- Spring 2024

Congratulations! This is the first step towards an unforgettable adventure! Please complete the entire application below reading all of the questions carefully.

In addition, all students are required to get a COVID-19 vaccination booster prior to departure if it has been six months since their second Pfizer or Moderna shot or two months since they received the single-dose Johnson & Johnson vaccine. Students should not rely on being able to get booster shots abroad. Students can find a location near them to get their booster prior to departure by visiting Vaccines.gov.

If you have any questions or if you need help, you can schedule an appointment with Melissa or contact us at studyabroad@hpu.edu.

If you have any questions or if you need help, you can come to one of the application workshops listed at www.hpu.edu/studyabroad or you can contact us at studyabroad@hpu.edu. To study abroad in Spring 2024, the application is due by MONDAY October 23, 2023 at 5pm HST.

1Personal Information > 2Required Documentation > 3Review Your Entry
Personal Information
Name (Exactly as it appears on your passport) Name (Exactly as it appears on your passport) First Middle Last
HPU ID

Please include @
HPU Email Address
Gender
Gender

Gender Male Female Non-binary Other Other
Preferred Pronouns
Date of Birth Date of Birth / MM / DD YYYY
Phone Phone - ### - ### ####
Hometown, State, Country
Gmail Address that is NOT your HPU email

Please list a working email address that ends in @gmail.com. You will use this to access the study abroad blog. If you do not have a gmail address, you can create one then list it here.
Instagram Username

We would love to use your photos to help promote study abroad. We will be following all students currently abroad and reposting some photos on the Study Abroad Instagram account. If you would not like us to follow you please indicate that in this field. #studyabroadhpu
Academic Information
University or Program where you will Study Abroad

Please list the name of the university or program where you wish to study abroad
Country where you will Study Abroad

Please list the name of the country where you will be studying abroad.
Level of Study
Term(s) Applying For
HPU Major
2nd HPU Major
HPU Minor
Current HPU GPA
Will you be using VA Education Benefits for your classes while abroad?
Number of HPU credits per term you wish to receive
Number of classes or credits you will need to take at your host university or program to equal the amount of HPU credits listed above

If you don't know the answer to this question, please contact us at studyabroad@hpu.edu or come to one of our application workshops!
Course Information

This section outlines the courses that you plan to take while abroad as well as the HPU credit that you will be receive for those courses. Please list 4-5 courses that would be your ideal schedule while abroad as well as 2 alternate courses. You will need to obtain approval from your department liaison in the form of a Course Approval Request Form (CARF) in order for these classes to count towards your degree. If you are taking General Education credits or unrestricted electives while abroad, Melissa Matsubara can approve those courses. Please note that these fields are not marked as required because students take different amounts of classes, but it is very important to complete this section as part of your application
HPU Course/Requirement Class #1

Please include the HPU requirements that you will be meeting with the classes you will be taking abroad. Examples: Global Crossroads, HIST 3XXX (upper division history elective), or ECON 3400
Host University Class #1

Please write the name and course number (if possible) for the courses that you are hoping to take at your host university. Example: ITL 304 Food and Culture of Italy.
HPU Course/Requirement Class #2
Host University Class #2
HPU Course/Requirement Class #3
Host University Class #3
HPU Course/Requirement Class #4
Host University Class #4
HPU Course/Requirement Class #5
Host University Class #5
HPU Course/Requirement Alternate #1

Please include the HPU requirements for alternative classes that you have gotten approved, but are not your first choice for your ideal schedule
Host University Alternate #1
HPU Course/Requirement Alternate #2
Host University Alternate #2
Notes
HPU Course/Requirement Class #1 Sem 2

Please include the HPU requirements that you will be meeting with the classes you will be taking abroad. Examples: Global Crossroads, HIST 3XXX (upper division history elective), or ECON 3400
Host University Class #1- Sem 2

Please write the name and course number (if possible) for the courses that you are hoping to take at your host university. Example: ITL 304 Food and Culture of Italy.
HPU Course/Requirement Class #2 Sem 2
Host University Class #2- Sem 2
HPU Course/Requirement Class #3 Sem 2
Host University Class #3- Sem 2
HPU Course/Requirement Class #4 Sem 2
Host University Class #4- Sem 2
HPU Course/Requirement Class #5 Sem 2
Host University Class #5- Sem 2
HPU Requirement Alternate #1- Sem 2
Host University Alternate #1- Sem 2
HPU Requirement Alternate #2- Sem 2
Host University Alternate #2- Sem 2
Notes- Semester 2
Have you recieved approval for these classes in the form of a Course Approval Request Form (CARF)
Please upload your Course Approval Request Form (CARF) that has been approved by your department liaison.

Please name file: First Name Last Name_CARF
Example: Melissa Matsubara_CARF

Attach Files
Have you been in contact with your department liaison regarding the approval of your classes? When do you expect to be able to submit an approved Course Approval Request Form (CARF)?
Emergency Contact Information (Required)

Please include the information of the person you would like us to contact if there is an Emergency while you're at HPU.
Relationship
Name Name First Last
Phone
Email
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Needs Disclosure

We want to ensure that all students have adequate support while they're overseas and as they return to HPU.
Please describe any needs or accommodations for us to further support you while you are abroad. Please list any medications, allergies, dietary restrictions, physical restrictions, accommodations, religious beliefs, etc. that could impact your experience. If you have nothing to dislose, please write N/A.

Please note that nothing you list here will keep you from being able to go abroad. We just want to be able to support you according to your needs.
Signature

I certify that all the information entered above is accurate and I understand the following:
1. I understand that if there is concern for my health and safety, HPU will contact the emergency contact I’ve listed above.
2. I understand that I will be required to have International Health Coverage while I'm abroad whether I it is provided by my program or I have to purchase it on my own.
3. In addition to submitting this application, I will need to apply to my host university or program as well as obtain a student visa, and there may be costs associated with these processes.
Draw your signature into the box below.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Date Date / MM / DD YYYY
Save my progress and resume later
Enter Your Email Address *

A special link to resume the form will be sent to your email address.

Outgoing Study Abroad Application- Spring 2024

Outgoing Study Abroad Application- Spring 2024

Personal Information

Academic Information

Course Information

Emergency Contact Information (Required)

Needs Disclosure

Signature