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Last Name: *

First Name: *

Email: *

Class year:

What are your plans for the summer?

Remaining in the U.S. and staying on campus

Remaining in the U.S. and moving off campus (please complete the section below)

I will be transferring to another school in the U.S.

 I will be graduating and leaving the U.S. after Commencement

I will be graduating and remaining in the U.S. on OPT (please complete the OPT Information form)

Summer Address:

Date you are moving:

Telephone number (if known):

Please notify the McCulloch Center for Global Initiatives immediately (jmedina@mtholyoke.edu) if you move from this address.