First Name
Last Name
Address
City
State
Zip
Home Phone
Alternate Phone
Email Address
Date of Birth
Drexel ID
Intended Major at Drexel
Parent/Guardian First Name:
Parent/Guardian Last Name:
Relationship to you:
Phone Number
Second Parent/Guardian First Name:
Second Parent/Guardian Last Name:
Phone Number:
High School:
Have you previously traveled outside of the United States?
Do you have a current United States Passport?
Please submit a 400 to 600-word essay stating how participation in this program will contribute to your academic, professional, and personal goals. Please be specific in explaining how this program relates to your academic interests and goals and also speak to what you will add to the program. Please not that essays submitted from the application will not be accepted.
Carefully review this information before sending this form.