Humboldt State University

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Oaxaca, Mexico Application

All blanks must be completed. Answer in detail where applicable. Informaton provided in this application is held in confidentiality.

Student Information

Date of Birth

Parent, Guardian or Relative Information

Academic Information

Student Health Information

* Once accepted, all students are required to purchase HSU-approved health insurance to participate in an HSU semester and summer study abroad program.

Student Input for Family Selection

By submitting this application I state my serious intent to participate in the Oaxaca, Mexico Study Abroad Program. In addition, if accepted in the Oaxaca program, I will abide by all regulations of the California State University and Colleges in general and the Humboldt State University in particular related to student conduct. Also, I will abide by all regulations of the host institution related to student conduct. The information provided in this application is truthful and accurate to the best of my knowledge.

If accepted you will need to complete all legally required forms for HSU Studies Abroad Programs and hold a valid passport.

If you are not an HSU student, please send a copy of your unofficial transcripts to:

Oaxaca Program Director
Dept. World Languages & Cultures
Humboldt State University
1 Harpst Street
Arcata, CA 95521