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Registration for Students

InteRDom offers a special exchange initiative for Dominican students called the Global Dominican Academic Exchange (GDAE) program.

First Names: *
Last Names: *
Cédula: *
Passport Number: *
Country of Passport: *
Copy of Passport *
Copy of Valid US Visa *
E-mail: *
Cellular Number: *
Mailing Address: *
Sex: *
Civil Status: *
Nationality: *
Date of Birth: *
University: *
Major: *
Level of English language capacities: *
Extracurricular Activities:
Resume: *
Copy of Unofficial Transcript: *
Please attach a one-page cover letter in English detailing your interest in this program
and how it will contribute to your academic and professional development: *