Incoming BW/NC Application Instructions

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1 Incoming BW/NC Application Instructions Welcome to your BW/NC incoming international student application! To complete the application process, please complete and submit the following items together to your home campus coordinator in the following order: BW/NC Incoming Exchange Student Application BW/NC Incoming Nomination Form (signed by your home campus coordinator/adviser) BW/NC Incoming Study Plan Forms (1 for each institution you are applying to) BW/NC Incoming Academic Reference Letters (Undergraduate: 1 Required but 2 Preferred; Graduate: 2 Required) Statement of Purpose in English Prepare a short essay (about 300 words) introducing yourself and presenting your reasons for wanting to participate in our exchange program. Use this essay to tell us about your strengths and special interests that may not be evident in your other materials submitted. Do not include specific references to or justifications for wanting to study at a particular university. Creativity is encouraged. Official English Proficiency Test Scores Photocopy of credential page of passport (or National ID if passport not yet obtained) Official Transcripts (from all colleges and universities attended) Mailing address: BW/NC, Hosted by UNCG 207 Foust Building, PO Box The International Programs Center UNCG Greensboro, NC Thank you for applying to go abroad through the BW/NC Exchange Program!

2 Incoming BW/NC Application Checklist First and Last Name: Home Campus: The following application documents are submitted in the following order; all single sided and not stapled: _ BW/NC Incoming Exchange Student Application BW/NC Incoming Nomination Form (signed by your home campus coordinator/adviser) BW/NC Incoming Study Plan Forms (1 for each institution you are applying to) _ BW/NC Incoming Academic Reference Letters (Undergraduate: 1 Required but 2 Preferred; Graduate: 2 Required) Statement of Purpose in English Prepare a short essay (about 300 words) introducing yourself and presenting your reasons for wanting to participate in our exchange program. Use this essay to tell us about your strengths and special interests that may not be evident in your other materials submitted. Do not include specific references to or justifications for wanting to study at a particular university. Creativity is encouraged. _ Official English Proficiency Test Scores Photocopy of credential page of passport (or National ID if passport not yet obtained) Official Transcripts (from all colleges and universities attended) Please complete and submit the application documents to your home campus coordinator.

3 Thank you for applying to go abroad through BW/NC Exchange Program! BW/NC Incoming Exchange Student Application This form is to be completed by the student. Please type or print clearly. Application should be completed in full. Any omissions may result in delays. Please remember to include official university transcripts. 1. Name: SURNAME FIRST MIDDLE AS IT APPEARS IN YOUR PASSPORT (Please attach a front page copy of your passport with the application [showing picture and issue date]). 2. Present address: (valid until month / day / year ) Telephone number (with city code) 3. Permanent address: Telephone number (with city code) 4. Sex: female male 5. Specify the country in which you have citizenship. If you have dual citizenship, clearly indicate which passport you will be using to travel to your host country. 6. Legal Permanent Resident of:

4 7. Date of birth: month (PLEASE WRITE OUT MONTH) / day / year 8. Place of birth: (city and country) 9. Would a dependent accompany you during the exchange? Yes No If yes, please indicate below name, date of birth and your relationship to dependent: 10. Person(s) to contact in case of emergency: Name(s): Address: Telephone number (include area code): Relationship to you: You have permission to communicate with the above named Emergency Contact Person regarding all issues regarding my study abroad experience. This may include, but is not limited to, student account information, student conduct issues, health and safety, or academics. I expressly waive any privacy rights I may otherwise have under FERPA (Family Educational Rights and Privacy Act). Such contact may occur before, during, or after the program. Yes No 11. Highest degree completed or in progress: Major field: Minor field: Projected completion date: month / day / year 12. Colleges or Universities Attended (include dates of attendance): (Official academic records for each of these institutions should accompany application.) A. College or University name: Dates of Attendance: Subject Studied: B. College or University name: Dates of Attendance: Subject Studied: 13. Principal field(s) or area of study during exchange:

5 *If you are planning on doing Academic Training (internship) during your exchange, please note that the internship MUST be directly related to the area of study you select. More information on Academic Training will be provided by your Host Institution should you be accepted. 14. Indicate the academic level at which you are requesting an exchange (check one): Undergraduate Graduate 15. Duration requested for exchange (check one): one semester two semesters Beginning date requested (ex. Fall 2017): Fall Spring 16. English Proficiency Test Scores Test name: Test score: (Official score should be enclosed) If TOEFL score is not enclosed, please indicate date exam was/will be taken: Month / day / year 17. I hereby grant permission to my Host Institution to send a transcript of my subjects, credits, and grades to my Home Institution at the end of each academic semester or term. Yes No 18. Campus Safety Questions (required by university policy). Your "yes" answer to one or more of the following questions will not necessarily preclude your application. However, your failure to provide complete, accurate, and truthful information will be grounds to deny or withdraw your application, or dismiss you after enrollment. For the purpose of the following questions, "crime" or "criminal charge" refers to any crime other than a traffic-related misdemeanor or an infraction. You must, however, include alcohol or drug offenses whether or not they are traffic related. a. Have you been convicted of a crime? yes no If yes, date? b. Have you entered a plea of guilty, a plea of no contest, a plea of nolo contendere, or an Alford plea, or have you received a deferred prosecution or prayer for judgment continued, to a criminal charge? yes no c. Have you otherwise accepted responsibility for the commission of a crime? yes no d. Do you have any criminal charges pending against you? yes no e. Have you ever been expelled, dismissed, suspended, placed on probation, or otherwise subject to any disciplinary sanction by any school, college, or university? yes no f. If you have ever served in the military, did you receive any type of discharge other than an honorable discharge? yes no currently serving never served If you have answered "yes" to any of the questions above, please explain the circumstances on a separate sheet of paper.

6 You must promptly notify the International Programs Center in writing of any criminal charge, any disposition of a criminal charge, or any school, college, or university disciplinary action against you, or any type of military discharge other than honorable discharge that occurs at any time after you submit this application. Your failure to do so will be grounds to deny or withdraw your admission, or to dismiss you after enrollment. I understand my failure to provide complete, accurate, and truthful information on this application will be grounds to deny or withdraw my admission, or dismiss me after enrollment. Signature Date

7 BW/NC Incoming Nomination Form Please write clearly or type your responses. This form is to be completed by students applying for exchange through the BW/NC Exchange Program. This form must be signed and submitted by the home university coordinator for study abroad/exchange. Surname (Family/Last name): (Please list all names as they appear on your passport) Section 1: To be completed by student Given Name(s) (First Name): Birth Date: (Please list all names as they appear on your passport) (Month/Day/Year example January 1, 1980) Address: Principle field or area of study during exchange: Requested duration of study (Check one): One Semester Two Semesters Beginning date requested: (Month) / (Year) Level on Exchange: Undergraduate Graduate STUDENT: Once you have completed Section 1, please submit this form along with all application materials (photocopy of credential page of passport, study plan forms, academic references, English test score report if needed, statement of purpose, and official transcripts) to your home study abroad advisor by the internal deadline set by your study abroad office. Section 2: To be completed by home university coordinator/study abroad advisor Home University (please print): Home Coordinator/Study Abroad Advisor s Name (please print): Address (please print): Mailing Address (please print): Home Coordinator Comments (specify order of priority choices at all preferred UNC campuses/details to be considered during placement): UNC Campus #1: UNC Campus #2: UNC Campus #3: Additional Comments: I hereby certify that the above mentioned student has been advised that placement at their first choice campus is not guaranteed. The above mentioned student has our full support to participate in the BW/NC Exchange Program. Coordinator/Study Abroad Advisor s Signature: COORDINATOR: Once you have completed Section 2, please submit this form along with all application materials (photocopy of credential page of passport, study plan forms, academic references, English test score report, statement of purpose, and official transcripts) to BW/NC Exchange Program by the application deadline for the semester you are nominating the student for. Submit to: BW/NC Exchange Program, 207 Foust Building, PO Box 26170, Greensboro, NC 27402, USA

8 BW/NC Incoming Study Plan Form (First Choice) This study plan form must be completed for each institution listed in the application. Last Name: First Name: Study Site Requested: Placement period begins (i.e. August 2012): and ends (i.e. May 2013): Academic Program: Using catalogs, program information, web pages, etc., list specific academic courses or programs offered by this institution which you wish to pursue while abroad. Whenever possible, list course titles and names of instructors from the host institutions course listing. Attach additional sheets if needed. Course ID# Course Description I have discussed my proposed program with the appropriate faculty and advisors at my home institution and have provisional approval for the academic program outlined. Signature: Date:

9 BW/NC Incoming Study Plan Form (Second Choice) This study plan form must be completed for each institution listed in the application. Last Name: First Name: Study Site Requested: Placement period begins (i.e. August 2012): and ends (i.e. May 2013): Academic Program: Using catalogs, program information, web pages, etc., list specific academic courses or programs offered by this institution which you wish to pursue while abroad. Whenever possible, list course titles and names of instructors from the host institutions course listing. Attach additional sheets if needed. Course ID# Course Description I have discussed my proposed program with the appropriate faculty and advisors at my home institution and have provisional approval for the academic program outlined. Signature: Date:

10 BW/NC Incoming Study Plan Form (Third Choice) This study plan form must be completed for each institution listed in the application. Last Name: First Name: Study Site Requested: Placement period begins (i.e. August 2012): and ends (i.e. May 2013): Academic Program: Using catalogs, program information, web pages, etc., list specific academic courses or programs offered by this institution which you wish to pursue while abroad. Whenever possible, list course titles and names of instructors from the host institutions course listing. Attach additional sheets if needed. Course ID# Course Description I have discussed my proposed program with the appropriate faculty and advisors at my home institution and have provisional approval for the academic program outlined. Signature: Date:

11 Incoming Academic Reference #1 To be completed by the Student: Note: This form must be forwarded directly to your BW/NC Campus Coordinator/Study Abroad Advisor once completed by the referee. Please be sure that the name and address of your BW/NC Campus Coordinator/Study Abroad Advisor is included below. Applicant First and Last Name: BW/NC Campus Coordinator/Study Abroad Advisor Name: On campus Address of Coordinator/Study Abroad Advisor: To be completed by the Referee: To the referee: The student above is applying for study abroad through BW/NC Exchange Program. Since participants serve as representatives of their nation and institution, BW/NC is concerned with both academic excellence and personal suitability of applicants for study abroad. The willingness of host institutions to accept future participants will be affected by the candidate s performance. Return this reference form by the specified date to your university s BW/NC Campus Coordinator or Study Abroad office as listed by the student above. Please attach a letter in which you comment on the applicant in terms of the following: A. How long and in what capacity have you known the applicant B. Applicant s academic competence in comparison with others at similar academic stages C. Academic suitability for study at an institution abroad D. Personal suitability for living abroad E. How participation in this program will be of benefit academically and personally F. Weaknesses and strengths G. Linguistic preparation (if applicable) H. Additional factors which you believe may lead to a successful experience for this applicant

12 Incoming Academic Reference #2 To be completed by the Student: Note: This form must be forwarded directly to your BW/NC Campus Coordinator/Study Abroad Advisor once completed by the referee. Please be sure that the name and address of your BW/NC Campus Coordinator/Study Abroad Advisor is included below. Applicant First and Last Name: BW/NC Campus Coordinator/Study Abroad Advisor Name: On campus Address of Coordinator/Study Abroad Advisor: To be completed by the Referee: To the referee: The student above is applying for study abroad through BW/NC Exchange Program. Since participants serve as representatives of their nation and institution, BW/NC is concerned with both academic excellence and personal suitability of applicants for study abroad. The willingness of host institutions to accept future participants will be affected by the candidate s performance. Return this reference form by the specified date to your university s BW/NC Campus Coordinator or Study Abroad office as listed by the student above. Please attach a letter in which you comment on the applicant in terms of the following: A. How long and in what capacity have you known the applicant B. Applicant s academic competence in comparison with others at similar academic stages C. Academic suitability for study at an institution abroad D. Personal suitability for living abroad E. How participation in this program will be of benefit academically and personally F. Weaknesses and strengths G. Linguistic preparation (if applicable) H. Additional factors which you believe may lead to a successful experience for this applicant

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