CHECKLIST FOR EXCHANGE PLACEMENT

Transcription

1 CHECKLIST FOR EXCHANGE PLACEMENT Name of Applicant: Home Institution: I have enclosed all the documents below in the order listed: Checklist for Exchange Placement SDSU Exchange Application SDSU Guide to Selecting Subjects and Subject Selection Form SDSU International Exchange Participant Agreement Official academic records (transcripts) from each college or university attended, native language versions and English language translations TOEFL or IELTS score report SDSU Financial Statement Form for Exchange Students and appropriate supporting documents, as required: Legible copy of the identification page (contains your name, birthdate, citizenship, etc) of the passport I will use to enter the US If you are applying for placement as a graduate level student, send also: Certification of completion of the equivalent of an undergraduate degree (such as diploma, exit certificate) 1 letter of recommendation, in English, from a current or former professor A personal statement, in English, (500 words) addressing the following topic: Explain how studying at San Diego State University will contribute to your graduate work. To Be Completed by the Home Institution Exchange Coordinator Preferences for mailing acceptance materials Send this student s acceptance materials to: Name : Mailing Address : (please format the address according to the conventions of your country; use a separate line for each line of the address) Materials can be sent via regular airmail at no cost. Delivery may take four to six weeks. Documents can be sent via express mail, but the cost must be paid by the student or home institution. If the student is admitted he/she will receive an with instruction to pay for the service through eshipglobal. If the student does not submit the request within three days of receiving the admittance the documents will be sent by regular airmail.

2 I have reviewed the completed application of the above named student (including Subject Request Lists) and discussed it with the applicant. I support this nomination. I am satisfied that the applicant has received approval for participation in this exchange program with SDSU from all required faculty members and administrative officials, and that all relevant information required for placement has been fully supplied. Name of exchange coordinator (please print) : Telephone : Signature of the exchange coordinator Date If you wish to provide further information about the applicant, please include it here :

3 SDSU Exchange Application Please read Application Procedures for International Exchange Students on our web site before completing this form: PLEASE TYPE ALL INFORMATION. Personal Information 1. Name (as it appears on your passport or birth certificate) 2. Indicate the term or terms you wish to study at SDSU Fall Semester (August-December) Year : 2 0 Spring Semester (January-May) Year : 2 0 last (family or surname) first (given) and middle names Two Semesters Fall Year : 2 0 & Spring Year : Male Female Date of Birth : Month-Day-Year 5a. Permanent Address : 5b. Mailing Address : Street and No. City State/Province Postal Code Country Write the address where you would like documents mailed to you. Format as it should be written on an envelope using a separate line for each line of the address. Be sure to include the postal code and name of country. 5c. Phone (with Country and City Codes) : 5d. 6a. Country of Birth: City of Birth: 6b. Country(s) where you have Citizenship: 6c. If you have dual citizenship, indicate which passport you will be using to travel to the US: 6d. Country where you reside: 7. Person(s) to contact in case of emergency: Relationship to you: Address : Telephone (with country and city codes) : 8. Do you have any special needs or require special services during your program (i.e., dietary considerations, learning aids, or facilities with handicapped access)? (If yes, please describe on a separate sheet and attach.) SDSU Exchange Application Page 1 Yes No

4 Educational Information 9. Indicate the academic level for which you are requesting placement at San Diego State University: Graduate Undergraduate For those applying as graduate students: If graduate study is unavailable, would you be willing to accept an undergraduate placement? Yes No 10. Consult the appropriate list of program majors and select the major(s) in which you intend to take most of your classes at SDSU. Undergraduate students (U) - Select 3 majors: [ 11. Graduate students (G) - Select only 1 major:[ Major 1 Major Code: Major 2 Major Code: Major 3 Major Code: 11. Enter TOEFL or IELTS test score and date on which you took or will take the exam. TOEFL Score(s) IELTS Score(s) OR Date: Date: Please provide the following information in order to help the Office of Admissions interpret your transcript(s) and academic records, and to understand how the course of study you have followed to date compares with programs at San Diego State University. 12. Indicate any other names which appear on your academic records: 13a. Institution currently attending: 13b. Degree in progress at current institution: last first middle 14. Highest degree completed: Name of institution: 15. All institutions of higher education attended - list institution currently attending first Field or Diploma / Certificate / or Name of Institution Dates Attended Program of Study Degree Obtained Date From To Type Received Month Year Month Year SDSU Exchange Application Page 2

5 16a. In the table below, list all the university subjects in which you are currently enrolled Course Title Term/ Year Number of Units 16b. In the table below, list any additional university subjects you intend to complete before coming to SDSU. Course Title Term/ Year Number of Units Certification - to be read and signed by all applicants, certifying the accuracy of information provided. I certify under penalty of perjury, or after first being duly sworn, that I have provided complete and accurate responses to the items on this application. I further certify (swear) all official documents submitted in support of this application are authentic and unaltered records that pertain to me. I authorize release of any information submitted by me in connection with my application to any person, firm, corporation, association or government agency, but only to verify or explain the information, obtain pertinent records, or in connection with perjury proceedings. My signature certifies the accuracy and completeness of the information provided. I understand that any misrepresentation may be cause for denial or cancellation of admission or enrollment. I also certify (swear) that so long as I am a student at San Diego State University, I will advise the international advisors if there is a change in any of the facts affecting my residence. Signed At: City Country Applicant's signature Date SDSU Exchange Application Page 3

6 1) To identify classes you would like to take, consult: Guide to Selecting Subjects at SDSU - If you are an undergraduate applicant: The General Catalog: - If you are a graduate applicant: The Graduate Bulletin: - Both undergraduate and graduate applicants: The Class Schedule: If you need more detailed information about specific courses, contact the Undergraduate or Graduate Advisor in the specific academic department: IMPORTANT DEFINITIONS * PREREQUISITES: Lower level coursework that must be fulfilled before a student can enroll in a higher level course. The General Catalog, Graduate Bulletin and Class Schedule all identify any prerequisites required for specific courses. Please review the notes at the bottom of the pages in the Class Schedule carefully. Exchange students should bring their own copies of transcripts and descriptions of relevant coursework completed (in English) to demonstrate to professors they have completed classes equivalent to required SDSU prerequisites before they will be allowed to attend classes with restricted enrollment. * IMPACTED MAJORS: These are programs of study for which student demand for classes far exceeds what can be accommodated. Biology, all Business-related programs, Psychology, Communications, Television, Film and New Media are im pacted (overenrolled.) For a list of all impacted programs, please see Exchange students MAY NOT select courses exclusively from programs that are impacted. SDSU Course Numbering System Courses numbered : The most basic level of coursework, also referred to as lower division courses. No pre-requisites are required. These courses are generally taken by first year (Freshmen) and second year (Sophomore) undergraduates. E xample: Hist116 or Span212 Courses numbered : Usually taken by third year (Junior) and fourth year (Senior) and sometimes graduate (master's level) students. These are considered upper division courses and generally require completion of pre-requisites. Example: Span students must have completed Span202 and Span212 (or equivalent) in order to enroll. Courses numbered : These classes are open ONLY to graduate students, that is, students who have completed the equivalent of a bachelor degree. 2) Working with your advisor at your home institution, select 8 alternative courses per semester that will be relevant and approved for your course of study. Because course availability can be very unpredictable, students should list as many options as possible. List them in priority order (most desired to least desired) in the table on the following page. 3) Undergraduate exchange students are required to register for a minimum of 12 units (24 ECTS), graduate exchange students are required to register for a minimum of 9 units (18 ECTS), the equivalent of fulltime enrollment at San Diego State University. I HAVE READ AND UNDERSTOOD THE INFORMATION IN THIS GUIDE. I ACCEPT THE CONDITIONS DESCRIBED HERE. Applicant's Signature Date Guide to Selecting Subjects at SDSU

7 Use this form to plan your classes. Keep a copy to refer to when it time to register for your classes online through the SDSU WebPortal system. It is your responsibility to register for your subjects at the time of the registration appointment posted in Webportal. Failure to register at your assigned time (Pacific Standard or Pacific Daylight Time) may result in the class being full. SDSU Subject Selection Form SEMESTER 1 COURSES SDSU Course (subject) Number SDSU Course (subject) Title Number of Units EXAMPLE: Hist116 Comparative History of the Americas 3 SEMESTER 2 COURSES SDSU Course (subject) Number SDSU Course (subject) Title Number of Units EXAMPLE: Hist116 Comparative History of the Americas 3 SDSU Subject Selection Form

8 SDSU International Exchange Participant Agreement As an international exchange student, you are encouraged to participate in both the academic and non-academic activities SDSU has to offer. However, as your program is based on academic performance, the following conditions are required to insure the academic integrity of the program. Please sign and date this form and return it along with your application. Your signature verifies that you have read this agreement and that you agree to abide by all conditions. If I accept placement as an exchange student at SDSU, I agree that: I will take part in all aspects of the exchange program, including orientation and evaluation. I understand that I must submit a SDSU participant evaluation at the end of my exchange. I will pay my home institution the designated program fee covering the full period of my exchange. I will have the status of non-degree student while on an SDSU exchange. Should I wish to seek a degree at SDSU in the future, I will be required to apply for admission as a degree-seeking student and submit all required documents as indicated in SDSU's admission policies and procedures. My placement will be limited to the period specified. An extension request is subject to review and approval by both my SDSU and my host institution exchange coordinators. My exchange may be terminated early by SDSU or my home institution if I: fail to remain enrolled full time (9 units for graduate students, 12 units for undergraduate students); fail to maintain a minimum standard of 2.0 GPA EACH semester during my exchange at SDSU; or am found by SDSU or my home institution to be in violation of laws or regulations of my host country or i nstitution. SDSU reserves the right to contact my home institution in the case of a medical emergency or violation of U.S. law or university policies. I will notify both my home institution exchange coordinator and the SDSU exchange coordinator immediately if I no longer want to be considered for an SDSU placement or wish to end my enrollment prior to the agreed upon time. If I withdraw from the program anytime after accepting the placement, or if my exchange placement is terminated after I enroll at SDSU, I may still be obligated to pay the full program fee at the discretion of my home and host institutions in collaboration and agreement with SDSU. If I have received financial aid for this program, I may be required to pay back funds in part or in full. Official academic records/transcripts of work I undertake at SDSU will be sent to my home institution provided that: all fees not covered by the program and any remaining balances which are my responsibility, are paid in full prior to my departure from SDSU. Otherwise, I will permit SDSU to withhold an authorized transcript until such fees are paid. AGREEMENT TO PURCHASE AND MAINTAIN HEALTH INSURANCE: I agree to purchase one of the health insurance policies offered through the International Student Center by the appropriate deadline. I understand that no other policies will be accepted with the exception of the policies offered through Fulbright, German Academic Exchange Service (DAAD), the Swedish Government (i.e. CSN), or the Norwegian Government. I will not be able to register for classes until this requirement has been met. Name of Applicant (print) Applicant's Signature Date SDSU International Exchange Participant Agreement