Application Form

Fill out the application form completely. Applications are due by October 1, 2012.

Tentative dates for the project are March 11-25, 2013. The number of students accepted to the program will be limited to 6-10 students.

Student First Name (required)

Student Last Name (required)

Student Email (required)

Confirm Student Email (required)

Student Cell Phone (required)

Student Home Phone (required)

Best time to reach you

I am a student at University Lake School

Year at ULS (required)

Parent First Name (required)

Parent Last Name (required)

Relationship to Student (required)

Parent Email (required)

Limited scholarship money will be available to help supplement the cost of the trip for students that qualify for financial aid. All interested students need to COMPLETE the application process and be accepted into the program BEFORE scholarship awards will be made.

 Yes I am interested in a scholarship for CLIC Abroad

Requirements For CLIC Abroad (required)
University Lake School students applying to CLIC Abroad need to be in good standing at University Lake School, adhering to all rules of student conduct outlined in the University Lake School student handbook. Failure to comply with these requirements will result in a forfeiture of acceptance to the CLIC Abroad intersession project as well as non-refund of any payment made to University Lake School for the CLIC Abroad program.

I am in good academic standing and understand the requirements for CLIC Abroad (required).

I have read and agree to all the requirements of the trip (required).