First choice:	Select Country Australia/New Zealand China France Germany Ireland Mexico South Africa Spain U.A.E. United Kingdom
Second choice:	Select Country Australia/New Zealand China France Germany Ireland Mexico South Africa Spain U.A.E. United Kingdom
Third choice:	Select Country Australia/New Zealand China France Germany Ireland Mexico South Africa Spain U.A.E. United Kingdom
First Name:
Last Name:
Title:
Institution:
Institution Address:
City:
State:	Select State Other Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Other    Zip:
Email:
Confirm E-mail:
Fax:
Telephone (work):
Telephone (home):
Home Address:
City:
State:	Select State Other Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Other    Zip:
1-) Have you participated in a NASPA International Exchange as a delegate?   Yes        No If no go to the question 2, if yes; What year?: Country(Countries): 2-) Have you hosted a NASPA International Exchange delegation?   Yes        No If no go to the question 3, if yes; What year?: Country(Countries):
3-) Please briefly describe the specific hosting responsibilities you have provided during the time you and your institution hosted an international delegation. Please list the institution you where working with at the time you hosted. (Please limit to one paragraph.)
4-) Have you traveled/lived/studied abroad?    Yes        No If yes, tell us where and briefly describe the experience. (Please limit to one paragraph.)
5-) Please type in those foreign languages you know in the scale of 'Survival, Conversational, and Fluent': Survival Conversational Fluent
6-) Please briefly describe your specific interests in participating in one of the NASPA International Exchange Programs. (Please limit to one paragraph.)
7-) Please describe how travel/study abroad in this exchange program will enhance your professional development. (Please limit to one paragraph.)
8-) What specific institutional area would you be most interested in exploring during the exchange program? (Please limit to one paragraph.)
9-) In what way(s) will you be able to give back to NASPA as a result of your learning during an international administrative exchange? (Please limit to one paragraph.)