Catalog Request Form
Personal Information
First name
Middle name
Last name
Address
City
State (USA)
State/Province (Outside USA)
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip/Postal Code
Country
Countries not on list
USA
Australia
Canada
China
Czech Republic
Denmark
Estonia
India
Korea
Poland
Russia
Email address
Academic Information
College or university currently enrolled in
Current Academic Standing
Freshman
Sophomore
Junior
Senior
Graduate
Not currently enrolled
Major(s)
Cumulative grade point average
out of a possible 4.0 as of
/
(month/year)
When are you thinking of studying abroad? (select all that apply)
Summer 2010
Fall Semester 2010
Spring Semester 2011
Summer 2011
Fall Semester 2011
Spring Semester 2012
Summer 2012
Fall Semester 2012
Undecided
DIS Program(s) of Interest
Fall/Spring Programs
Architecture & Design
Biotechnology & Biomedicine
Child Diversity & Development
Communication & Mass Media
European Culture & History
European Politics & Society
Global Economics
International Business
Medical Practice & Policy
Migration & Identity
Psychology
Public Health
Sustainability in Europe
Early Summer 2010 Courses / Tour Destinations
Session 1: May 19 - June 10
Session 2: June 12 - July 2
Children with Special Needs / Denmark
Children in a Multicultural Context / London
Design & Society in Denmark / Denmark
Analysis & Adaptation of Scandinavian Architecture / Sweden-Norway
HIV/Aids in Europe: Biomedical Perspectives / Denmark
HIV/Aids in Europe: Public Health Perspectives / Amsterdam
Introduction to Cellular Neuroscience / Denmark
Cross-Cultural Psychology / Croatia
Psychology of Happiness / Denmark
Sustainable Technology & Culture: Energy and Responses to Climate Change / Norway
Sustainability & Corporate Social Responsibility / Denmark
European Business Strategy / London
European Business Strategy / Brussels
Health Care in Northern Europe / London
Health Care in Northern Europe / Denmark
Human Health & Disease: A Clinical Approach / Poznan-Berlin
Human Health & Disease: A Clinical Approach / Stockholm
Vikings and Sagas: The Story of Iceland / Iceland
Hans Christian Andersen and the Danish Golden Age / Denmark
European Dimensions of Globalization and Youth Advocacy / Brussels
Photojournalism / Denmark
Cross-Cultural Encounters in a European Context / Turkey
Human Trafficking in Europe / Denmark-Gothenburg
Holocaust & Genocide / Poland
Imaging Cities: New Media and Urban Action
Sessions 1 & 2: May 19 - July 2
Nursing in Northern Europe
Late Summer 2010 Courses
June 29 - August 17
Architecture & Design
Interior Architecture
Pre-Architecture
Urban Design
Furniture Design in Scandinavia
Textile Design in Scandinavia
Communication
How did you hear about DIS?
Study Abroad Office
Faculty Recommendation
Friend or former DIS student
Study Abroad Fair / DIS visitor on campus
Saw a poster on campus
DIS website
StudyAbroad.com
GoAbroad.com
IIEpassport.org
PlanetEdu.com
Other
If other, please specify below.
I would like to request a DIS catalog
Yes
No
I have been in touch with my study abroad office
Yes
No
