Summer Study Abroad in Taiwan
Buddhist Core Texts in Taiwan Dharma Realm Buddhist University
Applicant Information
Name
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First Name
Last Name
Preferred Name
Gender
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Preferred Pronoun
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Date of Birth
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Month
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Day
Year
Date
Mailing Address (city, state, country, zip code)
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Email
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Phone Number
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Do you currently have a valid passport?
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Yes
No
Name as it appears on your passport
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Passport Number
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Passport Expiration Date
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Month
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Day
Year
Date
Nationality
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Please upload a copy of your biographical passport page. If you do not have a passport, please upload a copy of an official government ID showing your name, birth date, and gender.
*
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Current University / College
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Major / Field of Study
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Year of Study
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GPA
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Short Essay
Share a bit about yourself and why you want to join this program. (Maximum: 300 words)
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Faculty Reference
Please provide a reference from your current university or college who can speak to your character and academic performance.
Name
*
Email
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Emergency Contact
Name
*
Relationship
*
Phone Number
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Email
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Health Information
Please list any known physical or mental health conditions or concerns you want us to know such as asthma, difficulty standing or walking for a long periods, etc. N/A for none
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All information is confidential and held to HIPPA guidelines and do not influence or reflect program admission
Primary Insurance Provider
*
Insurance Policy Number
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Policy Holder
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Group Number
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Does your insurance cover you abroad?
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Please call and check with your insurance company to see if they will cover you for the entire duration of your time abroad.
Any additional information you wish for us to know about you
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