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FORMCHECKBOX  Male  FORMCHECKBOX  Female mo/day/yr City of Birth:  FORMTEXT       Country of Birth:  FORMTEXT       Country of Citizenship:  FORMTEXT       Country of Legal Permanent Residence:  FORMTEXT       E-mail address:  FORMTEXT       Highest degree earned and area of study:  FORMTEXT       Name of institution where you study in your home country:  FORMTEXT       Level of study:  FORMTEXT       What date will you hope to arrive in the U.S. to begin your program and what date do you plan to complete your project?  FORMTEXT   / FORMTEXT   / FORMTEXT      to  FORMTEXT   / FORMTEXT   / FORMTEXT      mo/day/yr mo/day &>@D  " , . 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FORMTEXT       *Please include a copy of your passport with this form. *Please include proof of enrollment at the institution where you are studying with this form. *Please include proof of funding for a minimum of $1500/month U.S. dollars with this form. *You will also need to include proof of insurance to cover you in the U.S. during your visit. Will you be accompanied by any family members as dependents? 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