Registration for Loyola's Study Program in Belgium 2008
July 9 to August 6
PLEASE PRINT CLEARLY:
Name:
Social Security Number:
Date of birth:
New Orleans address:
Local telephone number:
Home telephone number:
Home address:
e-mail address: Do you check your e-mail?
Name of individual(s) with whom you would like to room [the rooms accommodate 2 or 3]:
From which city will you begin this trip?
Do you wish to return to the U.S. at a later date? When? ( We must know when you register).
Which 2 courses do you wish to take:
_____HIST Q160: “ World War I in History and Literature” (Common Curriculum)
_____HIST G364: “ The History of Belgium”
_____HIST Q170 "The American Character" (Common Curriculum)
_____RELS O152: "Catholicism" (Common Curriculum)
There are a limited number of places; first come first serve. Cost: $4,300 (or $3,400 without airfare). A non-refundable deposit of $500 is due at registration. A payment of $1,500 is due by Jan. 15, $1,300 is due by March 30, and the balance of $1,000 is due by May 1st . Return form to Dr. David Moore, Dept of History, Bobet 426, Loyola University, New Orleans, LA 70118.