CUPA Summer Online Application

10%

Name Information
Name (as it appears on your Passport)*
First Middle Last
I identify my gender as*
- Female
- Male
- I prefer not to disclose
Date of birth*
Please upload an ID photo
Accepted file types: jpg, jpeg, gif, png.
Please upload a passport-style ID photo. The photo must be high resolution.
Citizenship information
Citizenship 1*
Do you have a current and valid passport for this country?*
- Yes
- No
Citizenship 2
Do you have a current and valid passport for this country?
- Yes
- No
Country of birth*
City of birth*

Contact Information
Primary Phone Number*
International Phone Number: For international phone numbers, please include the country code.
For example, a French number should be entered as +33 (0)142228750.
U.S. Phone Number: Please include the area code. Example (305) 555-6365
Secondary Phone Number
Email*
Enter Email Confirm Email
Secondary Email Address
Enter Email Confirm Email
Permanent Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Are you currently residing at your permanent address?*
- Yes
- No
Current Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Are you legally independent?*
- Yes
- No
Parent/Legal Guardian 1
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone*
Parent/Legal Guardian 2
Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email
Phone

High School Information
Please enter all relevant information about your high school.
Country of Institution*
State of Institution
City of Institution*
Name of Institution*
Year of Graduation*
University Information
Please enter all relevant information about your home university.
State of Institution*
Institution
Name of Institution
Please complete this field if the name of your institution is not listed.
Degree
Please select the degree you expect to receive upon completion of your current studies
Major
Major 2 / Minor
Current GPA
Recent Transcript
Accepted file types: pdf, jpg.

Previous French Studies
How many years of French did you take in secondary school?
Please enter a value between 0 and 10.
Did you take AP French in secondary school?
- Yes
- No
French University Courses
Courses
French Course Title Term

Please list all French courses that you have taken or are currently taking at the university level.
Please share any additional information related to your experience with French (example: Alliance Française classes, French family, travel, etc.)
Other languages
Please list any other foreign languages you speak and your level of proficiency.
Language Level

References
Each reference will be asked to fill out a confidential form as it pertains to the candidate. Please be advised that references will receive an automatic email upon final submission of this application. If you would like to contact them before submitting your application, remember to do so before submitting your application.
French Department Reference
French Department Reference*
Prefix First name Last name
Email*
Study Abroad Office Approval
Study Abroad Office Approval*
Prefix First name Last name
Email*

Housing Selection
CUPA homestay placement is based on students' interests and personalities. Students who choose housing with a French family must be ready to take this commitment seriously and accept that conditions will be different from what they are accustomed to in the US. By choosing to live with a host family, students agree to respect the rules set by CUPA between them and the French family.
Please remember that the choice of housing is final and cannot be changed during the semester
Please select your preferred housing situation*
- CUPA Housing with a French family
- Independent Housing

Essays
Please upload your essays addressing the following statements:
1 - Please describe your motivation for participating in CUPA Summer and why you think this program will be a good fit for you (250-350 words, written in English)
2 - Décrivez votre rapport à la langue française (premier contact, expériences marquantes, rencontres décisives, frustrations éventuelles...) et l'évolution de votre attitude envers la langue. Quelle place le français pourrait-il occuper dans votre vie future ? (500-600 mots, écrit en français)
Personal Essay*
Accepted file types: pdf, doc, docx, odt.
French Statement*
Accepted file types: pdf, doc, docx, odt.

Name Information