MAIA Study Abroad Interest Form

This is a request for information ONLY and does not serve as a Study Abroad application form. Please complete the form below in order to recieve information about the MAIA Program Study Abroad opportunities. Our Summer Programs are open to MAIA students, as well as qualified Undergraduate and Graduate students.

Please review our privacy statement relating to information we collect, choice/opt-out, and correction/updating of personal information before proceeding.

Required questions are marked with an (*).
* First Name: (You must type in a response)
 
 
* Last Name: (You must type in a response)
 
 
* Student Number (You must type in a response)
 
 
* E-mail Address: (You must enter a valid email address)
 
 
* Daytime Phone Number: (You must type in a response)
  No parenthesis or dashes (Example 3052848783).
 
 
Study Abroad Opportunities (Select only one)
  Two Week Summer Program.
 
 
Semester Program (Select only one)
  Fall or Spring Semester Abroad. This Program is open ONLY to MAIA Students.
 
 
Public Health Opportunities (Select only one)
  Collaboration with the Emmaus Medical Missions. This Program is open ONLY to MAIA Students.
 
 
Should you have any additional questions please contact us at 305-284-8783 or via e-mail at maiaprogram@miami.edu.