Summer 2018 Study Abroad Application

Transcription

1 1 Summer 2018 Study Abroad Application BEFORE FILLING OUT THIS APPLICATION: 1. Please first make sure that you are approved to study abroad on this program at your home college if outside BMCC. 2. If you do not have a passport, apply for a passport immediately. If you have one, make sure that your passport is valid for at least 6 months beyond the end date of the program. A COMPLETED APPLICATION FOR ALL PROGRAMS CONSISTS OF 3 PARTS: Completed BMCC application Applicant s Short Answer Questions ( words each, typed) see section below for details. 2 Faculty References (form attached) BMCC students do not need a transcript, we will review your academic record. Non-BMCC students should submit an official transcript with their application. If you reach the final round of admissions candidates, you will be contacted by the Faculty Coordinator for an interview. WHERE TO SUBMIT YOUR APPLICATION: BMCC students, CUNY students Submit application to Jessica Levin 199 Chambers Street, Room S750-A NY, NY jlevin@bmcc.cuny.edu Mon Fri, 9 am 5 pm Every part of the application should be submitted by the deadline, and all sections of the application must be completed in order to be reviewed. PRIORITY APPLICATION DEADLINE: March 7, 2018 REGULAR APPLICATION DEADLINE: March 14, 2018

2 2 PROGRAM INFORMATION BMCC Study Abroad Application Please indicate to which program you are applying at BMCC: Study Abroad France Study Abroad Italy Study Abroad Mexico Study Abroad Spain Term of Study: Summer 2018 STUDENT INFORMATION Student Name (As it appears on your passport) Student ID Number SSN (Last 4 digits) Date of Birth City, State and Country of Birth Gender Preferred Telephone Current Citizenship Passport No (if available) and Expiration Date Your current Academic Status: Freshman Sophomore Junior Senior Please check all that apply to you: International Student ASAP BMCC Learning Academy Other Special Program

3 3 CURRENT VALID ADDRESS Number and Street Box/Apt # City State/County Zip Code Country PERMANENT MAILING ADDRESS (if different from above) Number and Street Box/Apt # City State/County Zip Code Country EMERGENCY CONTACT INFORMATION Name Relationship Address Telephone Preferred Method of Contact Additional comments

4 4 COLLEGES OR UNIVERSITIES ATTENDED Name of Institution From To Major Cumulative GPA Semester Credits LANGUAGE COURSES Indicate any language courses you have taken prior to the program that would be of value in preparing you for study abroad. Title Credits Grade H.S. or College: FACULTY REFERENCES Please list the name, phone number and for each faculty member who will provide a letter of recommendation for you. You will need to provide them with the last 2 pages of this application. The completed form must be submitted by the deadline to Jessica Levin via jlevin@bmcc.cuny.edu. Name Phone Name Phone

5 5 APPLICANT S SHORT ANSWER SECTION On a separate sheet, type a response for each short answer question and submit this with your application. Short Answer 1: What is your major here at BMCC? Please describe any co-curricular activities you are involved with at BMCC. ( words) Short Answer 2: What program are you applying to and how does it relate to your present academic program and your professional goals? ( words) Short Answer 3: Describe the personal benefits you expect to receive from the program and how you will incorporate this program into your future goals. ( words) Short Answer 4: Please describe 3 characteristics that you think will make you a good candidate for a BMCC study abroad program. ( words) Short Answer 5: Include any additional information that may be useful in evaluating your candidacy for the study abroad program (i.e. information related to academic study, travel or residence in other countries, low GPA and/or language study). ADDITIONAL QUESTIONS How did you first hear about BMCC study abroad programs? What scholarships will you be applying for? Will you be applying for state or federal financial assistance? Yes No

6 6 Do you have a disability which requires reasonable accommodations or academic adjustments for this program? Yes No If Yes, please include an official letter from the Accessibilities Office indicating reasonable accommodations or academic adjustments required. Which category best describes you? (optional-for statistical purposes) () Black, non-hispanic () White, non-hispanic () Asian or Pacific Islander () American Indian or Native Alaskan () Hispanic () Other DECLARATION: I testify that to the best of my knowledge the above information contained in this application and the information contained in all documents attached to this application is true and accurate. Signature: Date: Student Name: Student ID #:

7 7 Faculty Reference Form Students: Please provide this form to a faculty member at BMCC or a former college attended. Faculty: Please fill out this form for your student and return it via to Jessica Levin, Experiential Learning and Study Abroad Manager: jlevin@bmcc.cuny.edu, by the application deadline. Priority Deadline: March 7; Regular Deadline: March 14 Part I: Name of Applicant Date of Request Study Abroad Program Information Country: Evaluator's Full Name Applicant s Signature City: Position Date Part II: The above-mentioned applicant is applying for the overseas academic program designated above. We would appreciate your assessment of the applicant s attributes with which you are familiar. Please return this form by or mail to the Study Abroad Office. 1. Basis and extent of your acquaintance with the applicant:

8 8 2. Please state frankly your opinion of this candidate's chances for success (both academic and non- academic) in a study abroad program. Keep in mind the following: academic/personal suitability for study abroad; how an international experience may benefit the applicant, both academically and personally; and strengths which you believe the applicant might bring to such an experience. (You are invited to use an additional sheet, if necessary.) 3. Additional comments: Evaluator s Signature Date Print Name Position/Title Telephone Number Office Address