Global Programs Registration

Please submit your documents ONLY in .pdf format

PLEASE, USE ENGLISH CHARACTERS ONLY

Note: * indicates required fields.

*Please, Select a Program from the List:

Name as in Passport:

*Family Name

*First Name

Middle Name (if any)

Address in Home Country:

*Address Line 1:

Address Line 2:

*City

State/Province

Postal Code

*Country

*Phone:

*E-mail:

Emergency Contact:

*Name

*Relationship to Student

*Phone Number: Work

Phone Number: Home

Email

*Date of birth (month/date/year):

*Gender:

Female Male

*City of Birth:

*Country of Birth:

*Country of Citizenship:

*Country of Residence:

During the course of the program there may be photographs or video taken of you for documentation or promotional purposes. Some program sponsors require photos and videos for official purposes. I give my consent to The University of New Mexico to take and use photographs, videos, and multimedia of me and/or my property, for the purposes of documentation, promotion, or other lawful use. These photographs, videos, and multimedia, can be used in their complete or modified form and I am not entitled to additional compensation for their usage nor do I get to pre-approve their usage. All original and modified files remain the sole property of The University of New Mexico.

I authorize The University of New Mexico to release my education records to my sponsoring university or agency upon request.

Please list any dietary or medical accommodations you may need during the program.

T-Shirt Size (U.S Adult Sizes)

*Attach a copy of your biographical page of your passport:

*Attach your proof of financial support:

All program participants must demonstrate that they have the necessary funds to participate in the program. Your proof of financial support should show funding to cover the entire cost of the program. If you are sponsored by your home university, company, or family member please upload a letter stating your proof of sponsorship.

*Attach your W8BEN Form:

All program participants must complete and submit a W-8BEN form. Here is the W-8BEN form for you to complete—you must print out the form, sign it, and upload it to the application using the link above. Here is a template of the W-8BEN form that highlights the areas that must be completed.

*Attach your proof of English language proficiency:

Most Global Certificate Programs have a required level of English language proficiency. Please upload your proof of English language proficiency for review.
Types of English language proficiency proof accepted: TOEFL (IBT or PBT), IELTS, Pearson, Cambridge, or a letter from home institution certifying English language level.
If you do not have proof of English language proficiency, please, check the box below and a staff member will work with you to meet the necessary requirements.

I do not have proof of English language proficiency.

Will you attend the weekend trip to Taos, New Mexico?

Dates: July 21—July 22
Trip Includes:Full-day of river rafting, cultural stops, meals, lodging, transportation
Trip Cost: $270.00 USD Per Person (the cost is subject to change based on the number of participants)

Yes No

I confirm that I am at least 18 years of age and that all data on this application is accurate and true