Information Request Form

Long-Term Academic Programs
four weeks to one semester

Short-Term Educational Programs
two to three weeks

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Call us toll-free at (800) 727-2437.

AIFS Partnerships in International Education
Information Request Form

I am interested in:*	Partnership Long-Term Academic Programs Partnership Short-Term Educational Programs
Salutation:*
First name:*
Last name:*
Title:*

Institution name:*
Academic department:
Address line 1:*
Address line 2:
City:*
State:*
Zip/postal code:*
Country:*

Email address:*
Work phone:
Cell phone:
Office hours:

Countries of interest:*
Have you taken students abroad in the past:*	Yes No
Approx. departure date:
Approx. return date:
Number of students:
Departure city:
How did you hear about AIFS Partnership:*

Additional comments or questions: