DukeImmerse: Rights & Identities in the Americas
Spring 2016
APPLICATIONS DUE 5pm, Monday, October 26, 2015. Please email your application to
Emily Stewart at Emily.stewart@duke.edu.
This information is collected for assessment purposes and to help faculty best accommodate your
unique circumstances.
Name: _________________________ ______
(First Name)
(M.I.)
___________________________________
(Last Name)
Duke Unique ID: ___________________________________________________________
Duke Student ID: __________________________________________________________
Choose one:
Pratt
Trinity
Major(s) (if declared): ______________________________________________
Minor(s) (if declared): _____________________________________________
Certificate(s) (if declared): _________________________________________
Anticipated graduation year: ________________
__________________
Cumulative GPA:
Preferred email address:
____________________________________________________________________
Campus Box: ___________________
Permanent Address:
_____________________________________________
______________________________________________
______________________________________________
List 3 extracurricular activities:
1. ______________________________________________
2. ______________________________________________
3. ______________________________________________
Have you completed Writing 101, or do you anticipate you will have completed Writing 101 by
the start of the DukeImmerse program?
Yes
No
Where did you learn about DukeImmerse?
This DukeImmerse has an international travel component, do you have concerns about the
international travel (i.e., health, travel restrictions)?
This DukeImmerse has an international travel component, what is the passport expiration
date?
_______/_______/_____
(Day/Month/Year)
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DukeImmerse: Rights & Identities in the Americas
Spring 2016
APPLICATION
All students must have or be able to acquire a valid passport for travel prior to March
2016. Please attach your answers in a single-spaced document to this application.
TRAVEL EXPERIENCE (including before Duke):
1. Please describe your interest in the themes of this suite of classes (200 words max).
2. How have issues like identity, social justice, the Americas and creativity shaped you as
a student and a person (no need to include all four) (200 words max)?
3. What was your most memorable or important travel experience, including within the
United States (200 words max)?
4. What do you expect to learn from this DukeImmerse experience (200 words max)?
5. What is your favorite book and why?
6. Do you have a valid passport? Do you have any special circumstances regarding
international travel?
Please email your application to Emily Stewart at Emily.stewart@duke.edu.
APPLICATIONS DUE 5pm, Monday, October 26, 2015. Contact Emily Stewart for
more information.
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