GENERAL APPLICATION FOR OFF-CAMPUS STUDY
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1 Office of International Programs GENERAL APPLICATION FOR OFF-CAMPUS STUDY Which Program(s) are you interested in? Costa Rica (Spring) France (Spring) Germany Berlin (Spring) Germany Freiburg (Year-long program) Germany Lüneburg (Spring) Ireland (Spring) Italy (Fall) Japan (Fall) Japan (Spring) Spain (Fall) England (Fall) Dominican Exchange (Fall) Dominican Exchange (Spring) If you selected Dominican Exchange, please specify location Barry University Miami Shores, FL Dominican University San Rafael, CA St. Thomas Aquinas College Sparkill, NY Name: Last First Middle Initial Gender Student ID# Date of Birth Aquinas Cell Phone Home or Local Phone
2 Permanent Address Apt. City State Zip Code Campus or Current Address if Different Address Apt. City State Zip Code Current Address Expires on Student Classification Are You an International Student? Overall GPA Current Class *Based on credits Major(s) Minor(s) Which Language(s) have you studied? Indicate College or H.S. and # of years/semesters of each semester Do You Receive Scholarships or Financial Aid? If you are receiving any scholarships or financial aid, please provide details here: Are you registered with the Academic and Learning Services Center? (If yes, you are advised to discuss your plans to study abroad with the Academic and Learning Services Center)
3 Do you have a disability that will require accommodations while abroad? (If you do not disclose your disability and/or request accommodations until abroad, Aquinas College may not be able to assess and accommodate your needs) Are you registered with the Counseling Center? (If yes, by signing this form, you authorize the Director of International Programs to contact the Counseling Center regarding your application and to discuss your candidacy) Disclaimer and Signature I authorize the release of this information to and permit discussion of my candidacy with the following offices: Aquinas College Health Center, Aquinas College Counseling Center, Aquinas College Residence Life Office, Dean of Students Office, Campus Safety, and Academic & Learning Services Center. I also understand that by signing this form, I waive my right to inspect any recommendation forms submitted for my application. Signature: Date:
4 Recommendation for Acceptance into Program Due Date for Programs: January 26, 2018 by 5:00pm Three recommendation forms are required for each application; at least two of these forms must be completed by current Aquinas Professors. Student Name: International Programs Office Off-Campus Study Program Application Check Program: Costa Rica France Ireland Japan Dominican Exchange Freiburg Lϋneburg Berlin Spain Italy England Other: Instructions for the individual writing this reference: Your name was given by the above named student as a reference in support of his/her application to an Aquinas College Off-campus Study Program. Your comments will be considered and appreciated during the selection process. Applicants waive their right to review any recommendation forms; the confidentiality of your comments will be strictly maintained. 1.) How long and in what capacity have you known the applicant? 2.) Please rank the applicant on the traits below using the following scale: (U=Unknown, 1=poor, 2=fair, 3=good, 4=great, 5=outstanding) Academic Ability Adaptability Self-reliance & Independence Dedication & Reliability Cooperation Emotional Stability/ Maturity
5 3.) What is the applicant s strongest attribute? 4.) Which characteristic(s) of the applicant might be a liability? 5.) Are there any other factors that should be taken into consideration in appraising this student s application? 6.) Considering your overall evaluation of this applicant, what is your recommendation regarding his/her acceptance for participation in this off-campus study program? Signature of Reference: Date: Title: Phone:
6 International Programs Office Off-Campus Study Program Application Essay Questions Due Date for Programs: January 26, 2018 by 5:00pm Applicant Name: Date: Program: Please answer the following questions thoroughly. 1. Have you traveled or studied abroad before? Where? 2. How does your selected off-campus program fit into your overall educational goals? Please address the academic course offerings of the program directly. 3. Please describe how you would promote and maintain a positive living environment in the program housing. Include past experiences with sharing living space. 4. What do you want to achieve during your experience?
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