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Exchange Application - Outgoing

If different from above.
Academic Information 

Degree/Program Modules (complete as appropriate)
I am aware that my Academic Record will be reviewed and that consultation regarding my eligibility may take place with Brescia Academic Advisors and Faculty*
BE International Program Location Choices 

Please select top three location choices in order of preference.
Duration and timing of international experience*
Statement of Interest
I hereby certify that the following information is correct and can be verified upon request*