Student Application Form

Personal Information

First Name *

Preferred First Name

Middle Name

Last Name *

preferred_pronouns

Date of Birth *

gender_identity

race_ethnicity

Email Address *

Alternate Email

Primary Phone Number *

Alternate Phone Number

I agree to receive text messages from NSE

Current Address

Street Address *

Address Line 2

City *

state_province

Zip/Postal Code *

Current Address Expiration Date

Emergency Contact

Enter contact information for the people you would like NSE to reach in the event of an emergency or if we cannot reach you with important matters about your exchange.

First Name *

Last Name *

Email *

Phone Number *

Welcome to NSE User

Student Application Information

Personal Information

Current Address

Emergency Contact