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Contact Us

MSU Office of International Programs
Montana State University
P.O. Box 172260
400 Culbertson Hall
Bozeman, MT 59717-2260

Tel: (406) 994-7602
Fax: (406) 994-1619
OIPtraining@montana.edu

Office of International Programs
Pre-travel Questionnaire

Please complete and submit this form before you travel to the United States.  If you prefer, you may print and fax it to us (write "Attention: Janelle " at the top of the page) at 406-994-1619.

Country:

Given Names:

Family Names:

Sex or Gender:

What is your passport number?


By what country (or authority) is your passport issued?


What is your passport expiration date (month/day/year)?


Have you ever been issued a Social Security Number or a Tax Payer Identification number by the United States Government? These numbers are in the format 123-45-6789.


What is your complete mailing address at school?

What is your telephone number at school?

What is your complete home mailing address?

What is your home telephone number?


What is your mobile telephone number?


What is your fax number?


Which address should the Institute use for general correspondence?


Which address should your fellow students use for general correspondence?


Where would it be best to receive packages from the Institute once you have returned from the United States?


Do you have any medical conditions which limit your ability to walk?


Do you have any other medical conditions which we should know about or are you on any prescription medications?


Do you have any other dietary restrictions? If so, please describe (halal, vegetarian, kosher, etc.):


Do you have any religious or prayer requirements? If so, please describe:


Please list any places where you have lived or traveled outside your country:


What are your current academic, intellectual, and research interests?


What courses are you currently teaching?


What age group do you usually teach?


Please rank your top three courses from the list of offerings.

Is there a subject not listed above that you would be interested in pursuing while at MSU?

If you were to design your own English language course or teaching English as a foreign language course based on your needs, how would you structure it? Please describe:

In addition to activities organized by the Institute, what are you most interested in seeing/doing during your visit?


How comfortable are you with listening to English?


How comfortable are you with speaking English?


How comfortable are you with reading English?


How comfortable are you with writing in English?


Are there any special ways in which we can help make you feel more comfortable during your stay?


Is there anything else we need to know?


    

THANK YOU!

View Text-only Version Text-only Updated: 6/4/08
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