Application to Participate in Study Abroad (Current BHSU Students)
Please indicate to which program you are applying:
Exchange (summer, semester, academic year)
BHSU Faculty-Led Program (BHSU FLP)
International Service-Learning Program (ISLP)
BHSU Sponsored Program
Please specify the year to which you are applying:
Please specify the term to which you are applying:
Full Name (First, Middle, Last)
Date of Birth
Home/Permanent Address (if different from current address)
Emergency Contact #1
Emergency Contact #2
What is/are your current major/majors?
American Indian Studies
Applied Health Sciences
Business Admin-Human Resource Mgmt
Business Administration (2 year)
Early Childhood Special Education
Environmental Physical Science - Composite
Exploratory Studies - Business
Exploratory Studies - Education
General Studies (2 year)
General Studies (4 year)*
Graduate Certificate in Crisis Leadership and Emergency Management
Master of Business Administration in Applied Management
Master of Education in Reading
Master of Science in Curriculum and Instruction
Master of Science in Secondary Education (Project SECOND)
Master of Science in Strategic Leadership
Master of Science in Sustainability
Masters of Science in Integrative Genomics
MAT in Special Education
Mathematics and Science Education - Composite
Music - Composite
Science Education - Composite
Social Science Education - Composite
Sociology - Social Resilience
Tourism & Hospitality Mgmt (2 year)
What is/are your current minor/minors?
American Indian Studies
Early Childhood Education
Management Information Systems
Teaching English to Speakers of Other Languages
How many credits have you completed at BHSU?
Are you expecting to graduate prior to studying abroad, or immediately following your program abroad?
What is your current cumulative GPA?
You must read and agree to the
Acceptance, Release and Waiver Statement
document; by selecting 'I agree', you acknowledge that you have read and understand the contents of the document.
By entering my name below, I confirm that I have read, understand, and assumed the risks associated with studying abroad, and agree to hold harmless Black Hills State University, the South Dakota Board of Regents, the State of South Dakota, and their staff, officers, and program director(s).
By submitting this form, I acknowledge that the information on this application is true and correct to the best of my knowledge.