NYU Wagner Summer Course Abroad Registration RequestsRequests will be considered based on the information submitted and on meeting course prerequisites (if required for the particular course). Please note that Wagner is looking for a mix of students/participants with varied experiences and goals, hence all who complete the form will be considered. Request and Registration TimelineStudents who submit this online form will be notified when seats in a course become available. If a seat is available, participants will provided a registration permission number by NYU Wagner. Registration is not available via Albert. Contact firstname.lastname@example.org with any questions. Program Fee/DepositRegistered students/participants must pay the relevant course abroad program fee as a deposit to hold their place in the course(s). The fee is due within one week of the date a participant is informed of their status for a course. The fee is payable by credit card via a secure online NYU payment system. Registered students will be sent a link to the online form once registered. Request Form All fields marked with * are required. For which course do you wish to request registration? (If you wish to apply for more than one course, you will need to complete this form again with the information relevant to the course.) * Choose One...HPAM - 2242 International Health Policy and Prospects (Geneva, Switzerland)URPL -GP - 2251 Urbanization and Sustainable Developmental in a Transitional Economy (Shanghai, China) Your Information: First Name: * Last Name: * NYU Email: * (If you are not an NYU student, enter preferred email address) University ID: * (If you are not an NYU student, please bypass this question) Address: * Address Line 2: * City: * State: * NoneAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaCaribbean MilitaryColoradoConnecticutDelawareDistrict of ColumbiaEuropean APO/FPOFar East APO/FPOFed. States MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingNon-US Zip: Country: * AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCaribbean NetherlandsCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong Kong S.A.R., ChinaHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorth KoreaNorwayOmanPakistanPalauPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluU.S. Virgin IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabwe Prefered Phone Number: * NYU School: Choose One...WagnerCASSCPS Global AffairsNYU MPHGSASSteinhardtTischGallatinOther Degree Program: Undergraduate Students please note which year you are currently enrolled: Choose One...Third/JuniorFourth/Senior Questions: Explain why you wish to participate in this NYU Wagner course abroad and how taking the course aligns with your academic and/or professional goals. [Max. 250 words] * Describe a significant intercultural experience, issue, or event that's influenced your desire to take this course. [Max. 250 words] * Explain where you have previously traveled abroad and for what duration (study/semester abroad, work, gap year, backpacking, or vacation). Please note that if you have not traveled abroad you will still be considered for the course." [Max. 250 words] * Please upload your unofficial transcript here (you may copy it from Albert or your university transcript system). All students must be in good academic standing. If you are not a student, upload your current resume. * Files must be less than 2 MB.Allowed file types: txt rtf html odf pdf doc docx ppt pptx xls xlsx xml. Notes: Please make any additional notes in the space below, if necessary. If you are not a Wagner student you should use this space to explain how you have met the course prerequisites, if necessary.