* = Indicates a Required Field |
| I am applying for: |
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| First Name |
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| Middle Name |
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| Last Name |
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| Current Address 1 |
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| Current Address 2 |
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| Current City |
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| Current State |
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| Zip Code |
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Current Home Phone |
* |
Current Cell Phone |
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E-mail Address |
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| Last Date Current Information is Valid (dd/mm/yyyy) |
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| Permanent Address 1 |
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| Permanent Address 2 |
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| Permanent City |
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| Permanent State |
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| Zip Code |
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| Law School Attending |
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| Graduation Year (yyyy) |
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| Gender |
Female
Male * |
| Date of Birth (dd/mm/yyyy) |
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Loyola Student Identification Number
(Required for Loyola students, non-Loyola students should enter "NA".) |
* |
Passport Number
(If you do not have your passport number, please enter "TBD", for "To Be Determined.".) |
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In order to complete your application, you must send a deposit for the following amount.
This amount is non-refundable. The balance (tuition & housing) is due not later than April 2, 2012. Checks should be made payable to Loyola University Chicago.
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$450 for China Program
$500 for Rome Program
$750 for Rome & Strasbourg Field Study Program
$950 for Rome & China Program
$1200 for Rome, China, and Strasbourg Program
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Deposits can be dropped off or sent to:
Study Law Abroad Programs
Attn: Jean Gaspardo
Room 1227
Loyola University Chicago School of Law
25 E. Pearson Street
Chicago, IL 60611
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Preferences
If we are unable to accommodate your request to attend all programs, please indicate if your preference would be to do China only, Rome only, Rome plus China only, Rome plus China plus Strasbourg only, or none of the programs.
China only
Rome only
Rome and Strasbourg only
Rome and China only
Rome, China, and Strasbourg only
None
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Housing Note
We are particularly sensitive to the need for consideration of others in the close quarters of the program housing. Due to the lack of sufficient sound insulation and the minimal size of the dorm rooms, no group gatherings will be permitted within the individual dorm rooms. Further, no alcoholic beverages, smoking, or illegal drugs will be permitted anywhere on campus. The only exception to this ruling is smoking is permitted in the designated smoking area outside the dorm building; and modest servings of alcohol may be provided at official program events.
Special Housing Requests
Indicate any particular issues you may have that would require special housing accommodations including, but not limited to: (a) physical disabilities; (b) preference for staying near others close to your age; and (c) preference for staying on a floor designated as strictly quiet zone:
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ROME REGISTRATION AND HOUSING
(Students must register for four credits, and have the option of enrolling in a fifth credit.)
Please indicate the courses in which you plan to enroll. Students must also self-enroll through the LOCUS system (www.luc.edu/locus) during the summer registration period in March 2012.
CHOOSE ONE from the following GROUP ONE:
Products Liability (4 wks)
Criminal Procedure AND Comparative Law: Common Law
CHOOSE ONE from the following GROUP TWO:
Comparative Bioethics AND Comparative Domestic Violence
Comparative Bioethics AND Intl Human Rights-Adjudication
Comparative Law:Civil Law AND Comparative Domestic Violence
Comparative Law:Civil Law AND Intl Human Rights-Adjudication
OPTIONAL 5TH Credit FOR LUC STUDENTS ONLY:
Comparative Education Research
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Rome Housing
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| Do you wish to stay in the dormitory? |
Yes
No
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| (All students are required to stay in dorms unless accompanied by spouse/family.) |
| If you wish to share a dormitory room with a particular enrolled student of the same gender, please indicate that person's name: |
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| STRASBOURG FIELD STUDY REGISTRATION |
European Union Law
Yes
No
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| Strasbourg Housing |
| Do you wish to stay in the dormitory? |
Yes
No
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| (All students are required to stay in dorms unless accompanied by spouse/family.) |
| If you wish to share a dormitory room with a particular enrolled student of the same gender, please indicate that person's name: |
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CHINA REGISTRATION AND HOUSING
(Students must register for four credits.)
Please indicate the courses in which you plan to enroll. Students must also self-enroll through the LOCUS system (www.luc.edu/locus) during the summer registration period in March 2012.
Please enroll me in the China Program for the following 4 courses:
- International Art Law
- Introduction to Chinese Law
- Comparative Child Law
- Comparative Health Law
OPTIONAL 5TH Credit FOR LUC STUDENTS ONLY:
International Public Law
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| China Housing |
| Do you wish to stay in the dormitory? |
Yes
No
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| (All students are required to stay in dorms unless accompanied by spouse/family.) |
| If you wish to share a dormitory room with a particular enrolled student of the same gender, please indicate that person's name: |
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ALL PROGRAMS - - EMERGENCY CONTACT INFORMATION |
| Primary Emergency Contact |
| Emergency Contact Name |
* |
| Emergency Contact Relationship |
* |
| Emergency Contact Phone |
* |
| Emergency Contact Address |
* |
| Secondary Emergency Contact |
| Emergency Contact Name |
* |
| Emergency Contact Relationship |
* |
| Emergency Contact Phone |
* |
| Emergency Contact Address |
* |
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| Please indicate how you learned of this program. |
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Thank you for your interest in the 2012 Law Study Abroad program. For more information, please contact Lawabroad@luc.edu |
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