Global Recruitment Partners Program

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Personal Information

First (Given) Name*

Last (Family) Name*

Email*

Birthdate*

Phone Number with Country Code*

Text Opt-In: You may send text messages to the mobile number provided above (standard message charges may apply)*

Yes

No

What is the name of the agency you are working with?*

School: At which institution are you currently enrolled?*

Country of Citizenship*

Student Type*

Are you interested in attending one of our UA Global locations?*

Yes

No

Please select which locations you would be interested in attending (please select all that apply):

Ajman - Gulf Medical University

Amman - Princess Sumaya University of Technology

Hanoi - Hanoi Law University

Jakarta - Sampoerna University

Lima - Universidad Peruana de Ciencias Aplicadas

Mauritius - University of Mauritius

Phnom Penh - American University of Phnom Penh

Qingdao - Ocean University of China

Sulaimani - American University of Iraq - Sulaimani

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