APPLICATION CHECKLIST Konan University Summer 2013
|
|
- Jason Hill
- 6 years ago
- Views:
Transcription
1 University at Buffalo The State University of New York Office of International Education Study Abroad Programs APPLICATION CHECKLIST Konan University Summer 2013 Please return the following documents to the UB Study Abroad office prior to the application deadline of March 1: UB application form Study Statement Foreign Language Proficiency form 2 Academic Recommendations Official UB transcript (and previous institution(s) if you are a transfer student) Konan University Summer Program Application Form* Questionnaire #1: Konan University Institute for Language and Culture* Questionnaire #2: Student Information for Host Family Placement* Questionnaire #3: Student Information for Host Family* Konan University Summer Program Participant Agreement** 2 passport-size photos Please print your first and last name on the back of each photo. Copy of your passport *Fillable PDF forms. You must type the required information. Handwritten application forms will NOT be accepted. **Do NOT send any payments directly to Konan. Program participants will pay UB and UB will send payment to Konan. 210 Talbert Hall, Buffalo, NY Tel: (716) Fax: (716) studyabroad@buffalo.edu
2 Name: UB Study Abroad Program: Application for UB Study Abroad Programs Please type or print in ink. Application Information Last First Middle Program/University City Country Please list any other programs you are applying for: Program/University City Country Administering SUNY Campus Program/University City Country Administering SUNY Campus Term of Study for which you are applying: (check the box and include the year next to the appropriate term, e.g. Fall 09) Fall Spring Year Summer Intersession Other: How did you learn about this program? Personal Information Date of Birth: / / Place of Birth: Gender: Male Female Mo Day Year City / State Country Passport #: Passport Expiration Date: Married? No Yes or date of passport application Month & Year Country of Citizenship: Visa Status (if not US citizen): Home Campus: Campus Student ID #: Local Mailing Address: Permanent/Home Address: (if different) Street Address Apt # Street Address Apt # City State Zip Code City/State Country (if not US) Zip/Postal Code Current Telephone: ( ) Permanent/Home Telephone: ( ) Campus Address (use block letters) Alternate Address (use block letters) My local address can be used until: / / Mo Day Year Please notify us of any changes in your contact information. Academic Information Current Standing: Freshman Sophomore Junior Senior Master PhD Other: Major(s): Minor(s): Academic Advisor: Expected date of graduation: GPA: Major Cumulative Degree Credits: Completed Currently Enrolled UB 1 Page 1 of 2
3 Your Name UB Study Abroad Program Term of Study Academic Background Please list below any other colleges or universities you have attended. Name of Institution Dates of Attendance Credits Degrees/Certificates Received Please list below any courses you have taken (including language) that have prepared you for this program. Course Title High School or College? Credits Grade Received Contact Information Person to contact in case of emergency: Parent or Guardian (if under 21): Name Relationship to you Name Relationship to you Street Address Apt Number Street Address Apt Number City/State Country (if not US) Zip/Postal Code City/State Country (if not US) Zip/Postal Code ( ) ( ) ( ) ( ) Home Phone Cell Phone Home Phone Cell Phone Address: (use block letters) Address: (use block letters) Financial Information To assist you with financial planning for study abroad, please indicate the estimated amounts you expect to have available from the following sources: Financial Aid: $ Grants/Scholarships: $ Loans: $ Family Assistance: $ Savings: $ Other Sources (please describe): Student Declaration I certify that all information on this application form is true to the best of my knowledge. Student's Signature Date Home Campus Study Abroad Signature (for students from other SUNY campuses) I am aware that this student is applying to the University at Buffalo study abroad program(s) listed on page 1. Name of Campus Study Abroad Contact Title Office Signature Date SUNY Campus UB 1 Page 2 of 2
4 Study Statement for UB Study Abroad Programs Student Information Study Statement Name: Campus Student ID #: Last First MI UB Study Abroad Program: Program/University City/Country Term of Study I confirm that the information in my Study Statement is true to the best of my knowledge and that I have discussed my proposed study abroad program with my academic advisor. Student Signature: Date: Study Statement Please write a Study Statement in essay format. It should be typed on separate pages and attached to this form. The maximum length is two typed pages. Your Study Statement should include: Your academic reasons for selecting this program. How this study abroad program fits with your academic program and your overall academic goals. You may also include how this program will benefit your personal and professional development. Any prior experience with studying, traveling, or living in another country. Any additional information that may be helpful in evaluating your candidacy for study abroad. When complete, review the Study Statement with your academic advisor and ask him/her to complete the Academic Advisor Approval section of this form. Then submit this form and your typed statement to the UB Study Abroad office with the rest of your application. Academic Advisor Approval To the Academic Advisor: Please discuss this proposed study abroad program with your advisee and how it will complement his or her academic program. If you approve of this study abroad application, please indicate your approval with your signature below. We recommend keeping a copy of this signed form for the student's file. I confirm that I have discussed this proposed study abroad program with this student and approve of his/her application for study abroad. Name of Academic Advisor Title Department Signature Date Institution (if not UB) Study Abroad Programs, University at Buffalo, 210 Talbert Hall, Buffalo, NY Tel: Fax: studyabroad@buffalo.edu UB 2
5 Foreign Language Proficiency for UB Study Abroad Programs Foreign Language Proficiency To the Student: Complete the section below and ask your current language professor/instructor (or the person who has most recently taught you) to complete the rest. The form should be returned to you in a sealed envelope with the professor s signature across the seal. Submit it to the UB Study Abroad office with the rest of your application. Student Name: Language of Study: Last First MI UB Study Abroad Program: Program/University City/Country Term of Study 1. I will have completed the required foreign language coursework prior to the start of the program through: Coursework OR Equivalent preparation (please explain): 2. During my study abroad program, I will take (select all that apply) language courses at the level of: beginner intermediate advanced courses in the host country language designed for international students regular university courses taught in the host country language 3. Estimate your proficiency in the language required for this program: I waive my right to access this reference completed by Student Signature: Language Skills Excellent Good Fair Poor Speaking Listening Comprehension Reading Writing Name of Reference Date: Yes No To the Reference: Please provide your assessment of this student s language abilities. You may complete the assessment questions below and/or attach a separate letter. Please return the completed form to the student in a sealed envelope with your signature across the seal. How long and in what capacity have you known the student? Language Skills Excellent Very Good Good Fair Poor No Ability Reading Understanding lectures Composition Conversation Please refer to Question 3 in the student section above and rate the student's readiness for such coursework. The applicant: should have no difficulty on this program. should be able to manage adequately after a short period of adjustment abroad. should be able to manage adequately after some additional formal language study. appears to require considerable study before the necessary competence could be achieved. Please add any comments to assist with the evaluation of this student s candidacy for study abroad. Evaluator s Name Title Department Signature Date Institution (if not UB) UB 3
6 Academic Recommendation Student Name: Campus Student ID #: Last First MI UB Study Abroad Program: I waive my right to access this reference completed by Student Signature: To the Student: Program/University City/Country Term of Study Name of Reference Date: Yes No Please give this to a home campus faculty member who has taught you and is able to comment on your academic qualifications for study abroad. You should ask for the recommendation to be returned to you in a sealed envelope with the reference s signature across the seal. Submit it to the UB Study Abroad office with the rest of your application. To the Reference: Please provide your assessment of this student s candidacy for study abroad to the best of your knowledge. You may complete the assessment questions below and/or attach a separate letter. Please return the recommendation to the student in a sealed envelope with your signature across the seal. How long and in what capacity have you known the student? Academic Recommendation for UB Study Abroad Programs Academic attributes Excellent Very Good Good Fair Poor No Evaluation Competence in field of study Academic interest and motivation Capacity for independent study Resourcefulness Reliability Academic integrity Non-academic attributes Excellent Very Good Good Fair Poor No Evaluation Level of maturity Ability to adapt to new situations Self-confidence and self-esteem Ability to relate well to others Emotional stability Open-mindedness Personal integrity Please state your opinion of this candidate's ability to participate and succeed in the proposed study abroad program, weighing both strong and weak points. Name of Reference Title Department Signature Date Institution (if not UB) UB 4 Study Abroad Programs, University at Buffalo, 210 Talbert Hall, Buffalo, NY Tel: Fax: studyabroad@buffalo.edu
7 Academic Recommendation Student Name: Campus Student ID #: Last First MI UB Study Abroad Program: I waive my right to access this reference completed by Student Signature: To the Student: Program/University City/Country Term of Study Name of Reference Date: Yes No Please give this to a home campus faculty member who has taught you and is able to comment on your academic qualifications for study abroad. You should ask for the recommendation to be returned to you in a sealed envelope with the reference s signature across the seal. Submit it to the UB Study Abroad office with the rest of your application. To the Reference: Please provide your assessment of this student s candidacy for study abroad to the best of your knowledge. You may complete the assessment questions below and/or attach a separate letter. Please return the recommendation to the student in a sealed envelope with your signature across the seal. How long and in what capacity have you known the student? Academic Recommendation for UB Study Abroad Programs Academic attributes Excellent Very Good Good Fair Poor No Evaluation Competence in field of study Academic interest and motivation Capacity for independent study Resourcefulness Reliability Academic integrity Non-academic attributes Excellent Very Good Good Fair Poor No Evaluation Level of maturity Ability to adapt to new situations Self-confidence and self-esteem Ability to relate well to others Emotional stability Open-mindedness Personal integrity Please state your opinion of this candidate's ability to participate and succeed in the proposed study abroad program, weighing both strong and weak points. Name of Reference Title Department Signature Date Institution (if not UB) UB 5 Study Abroad Programs, University at Buffalo, 210 Talbert Hall, Buffalo, NY Tel: Fax: studyabroad@buffalo.edu
8 Konan University Summer Intensive Japanese Program Application Form Photo 3cm 4cm Full legal name: Ms. / Mr. (First) (Middle or Other) (Last) Address (at which you can always be reached): Telephone: Fax: University: Address: Telephone: Age: Fax: Nationality: Name and address of the person to be contacted in case of emergency: Relationship to applicant: Telephone: Fax: Signature: Date: Any document submitted is only released to Konan Gakuen use only according to the law protecting personal information.
9 Questionnaire 1 Konan University Institute for Language and Culture Thank you for your interest in the Konan University Summer Intensive Japanese Program. Please answer the following questions and return the completed questionnaire with your application form. Name: [1] Please give the details of Japanese courses you have taken and are taking now. 1. Institution: 2. Address: 3. Course titles: 4. Dates of study: from / / to / / Grade received: dd mm yy dd mm yy 5. Textbooks used (author, title and chapters): 6. Have you ever studied the following? a. Hiragana yes no b. Katakana yes no c. Kanji yes no If "yes", please indicate the approximate number of kanji you can read: 7. Did you study Japanese in high school? yes no [2] Have you ever been to Japan? yes no
10 If yes, please state: Place Purpose from / / to / / Total length of stay: dd mm yy dd mm yy [3] Have you ever studied any foreign languages other than Japanese? yes If yes, please state what language(s): [4] Please briefly describe your purpose for studying Japanese and how you would like to use it in the future: no
11 Questionnaire 2 KONAN INTERNATIONAL EXCHANGE CENTER STUDENT INFORMATION FOR HOST FAMILY PLACEMENT (For office use only. Replies will be treated as confidential.) Please type or print Name: Last First Middle Sex : Male Female (please circle) Date of Birth: Age : dd / mm / yy Place of Birth: Home Institution: Height: CM/ Weight: KG/ Please attach a recent photograph of yourself 1. List foods you do not eat for religious, health or personal reasons (e.g. red meat, all meat, fish, eggs, nuts, specific vegetables): List foods you prefer not to eat: Food Allergies: 2. Are you able to live with the following pets? (Please circle) cats (outside) Yes No (inside) Yes No dogs (outside) Yes No (inside) Yes No birds (outside) Yes No (inside) Yes No 3. Do you smoke? (circle one) Yes Sometimes No Those who answered Yes, please understand that you may not be permitted to smoke in the host family s house.
12 4. Please check one of the following: a. I prefer to live with smokers. b. I don't mind living with smokers. c. I prefer not to live with smokers. Those who answered c, can you accept your host family members smoking just in a restricted area? (e.g., in the kitchen under the exhaust fan) Yes No 5. Do you have any chronic health conditions or illnesses? (circle one) Yes No If yes, please specify: 6. Please check one of the following: I hope to live with a family that speaks some English. I hope to live with a family that speaks no English. I have no preference. 7. Please check one of the following: I prefer a family with younger children. (under 10 / over 10) I prefer a family with children of my own age. I prefer a family with no children. I have no special preference. 8. Please briefly introduce yourself: I understand that the Konan International Exchange Center will take the information in this questionnaire into consideration when placing me in a host family, but this does not guarantee I will be placed in a host family that meets all my preferences. Signature: Date:
13 Questionnaire 3 KONAN INTERNATIONAL EXCHANGE CENTER STUDENT INFORMATION FOR HOST FAMILY Please type or print Name: Last First Middle What would you like to be called at home? Home Institution: (in katakana): Date of Birth: ( dd / mm / yy ) Mailing Address: *Please write clearly or type Post Code: Telephone: Fax (if any): *Please write clearly or type Interests and hobbies: Allergies / Special Health Conditions / Special Dietary Needs: Allergies: Special Health Conditions: Special Dietary Needs:
14 This form will be given directly to your Host Family. MESSAGE TO YOUR HOST FAMILY Please attach a casual photo of yourself here: Write a message to your family below. You may write in English, but please include at least a short message in Japanese: Dear Family, From
15 Konan University Summer Intensive Japanese Program 2013 Participant Agreement 1. The Undersigned hereby releases Konan University, the Konan Institute for Language and Culture (hereinafter referred to as KILC), and the Konan International Exchange Center (hereinafter referred to as KIEC), its trustees, officers, agents, and employees, and host families from any and all claims including, but not limited to: a. Any and all claims of whatever nature for any injury, loss, damage, accident, delay, irregularity, or expense arising from the use of any vehicle or other mode of transportation, or services, strikes, war, weather, sickness, quarantine, government restrictions or regulations, or from any steamship, airline, railroad, bus transportation, sightseeing, hotel, or any other service or transporting company, firm, individual or agency. b. Any injury to the Undersigned. c. Any damage or injury to property, whether personal, real or mixed, owned or in the custody or possession of the Undersigned or any other person. 2. The Undersigned grants the KILC Dean/KIEC Director or their agent full authority to take whatever action he/she feels warranted under the circumstance regarding the Undersigned's health and safety. This authority will permit the KILC Dean/KIEC Director or their agent at his/her discretion to place the Undersigned, at Undersigned's own expense, in a hospital for medical services and treatment, or if no hospital is available, to place him/her in the hands of a local medical doctor for treatment. 3. The Undersigned understands that as a participant of the Program he/she is prohibited from driving any motor vehicle including, but not limited to automobiles, motorcycles, scooters and mopeds during the period of time in which he/she is in Japan. 4. The Undersigned agrees not to use any form of controlled substances. Participants found to have any connection with illegal drugs will be immediately dismissed from the Program. 5. It is also agreed that the KILC Dean/KIEC Director reserves the right to terminate the Undersigned s participation to the program for failure to maintain acceptable standards of private and public conduct, or if the KILC Dean/KIEC Director deems the Undersigned s conduct detrimental to or incompatible with the interest, harmony, comfort or welfare of the group as a whole. If a participant is dismissed from the program, only funds not actually used or committed will be refunded. 6. The Undersigned agrees to accept accommodations with a homestay family from June 9, 2013 to July 21, The Undersigned understands that the host family will provide a private room and two meals a day: breakfast and dinner. The participant is responsible for buying his/her own lunch. Meal terms are not negotiable. When significant incompatibility with the Host family or other important cause for dissatisfaction becomes apparent, the housing arrangement may be changed, but the Undersigned agrees to absorb any costs necessitated by such a change if it is determined that the participant is principally responsible for the move. The Undersigned agrees to leave his/her homestay family on or before July 21, The program fee for 2013 is 260,000 yen. The Undersigned agrees to assume full financial responsibility for the fees and agrees to wire transfer the program fees on or before April 26, 2013 to the account of Konan University specified as follows: Sumitomo Mitsui Banking Corporation, Sumiyoshi Branch, Kobe, Japan Account No Account Name Konan Gakuen, Yoshimi Sugimura Bank checks and money orders are not acceptable. The Undersigned is responsible for paying any bank charges incurred. (This provision does not apply to students from University of Hawaii at Manoa / University of Victoria as they will pay the program fee of 260,000 yen directly to the University of Hawaii at Manoa Study Abroad Center / University of Victoria Department of Pacific Asian Studies)
16 8. In case the Undersigned withdraws from the program on or before May 6, 2013, program fees will be refunded, less a cancellation fee of 10,000 yen and any bank fee incurred when refunding payment. There will be no refunds after May 6, Notification of withdrawal must be given in writing (fax acceptable) and received by Konan no later than 5 pm Japan standard time, May 6, The Undersigned agrees to arrive at Kansai International Airport during the time specified by KIEC on June 8, In the event the Undersigned cannot do so, it is his/her responsibility to come to the orientation site/campus on his/her own. 10. The Undersigned understands that enrollment of fewer than ten students in the Program at the deadline for payment of fees on April 26, 2013 may result in the cancellation of the Program. 11. As stated in the course description, the Program is designed for students who have successfully completed approximately 150 hours of Japanese instruction. Therefore, the Program is to be viewed as offering classes equivalent to Japanese The Undersigned understands that it is the responsibility of each student to participate in all supervised experiential learning activities and complete all tests, quizzes, final exams, daily assignments and any other work assigned in the course. This responsibility applies even to those students who may not require a grade from Konan University or any credits from their home institution. I acknowledge that I have read and understood the above document in its entirety. I understand that as a participant of Konan University Summer Intensive Japanese Program 2013, I shall be subject to the rules and requirements of Konan University. Having understood the above, I agree to fulfill in all of the above stated terms and conditions of acceptance and participation in the Program or be subject to immediate dismissal if I do not do so. PARTICIPANT: Signature: Date: Name (please print): Address: PARENT OR GUARDIAN IF PARTICIPANT IS (1) DEPENDENT UPON HIS/HER PARENTS FOR SUPPORT and/or (2) UNDER THE AGE OF 20. Signature: Date: Name (please print): Address: *Information submitted to Konan Gakuen will be used only as permitted by the laws protecting personal information.
2018 Summer Application to Study Abroad
Page 1 of 7 Attach one COLOR driver's license or passport sized photograph here. 2018 Summer Application to Study Abroad More than one photograph may be required during the application process. Check individual
More informationESL Summer Camp: June 18 July 27, 2012 Homestay Application (Please answer all questions completely)
ESL Summer Camp: June 18 July 27, 2012 Homestay Application (Please answer all questions completely) Family Name (Surname) First Name (Given name) Applicant s Complete Address Male: Female: REGISTRATION
More informationMONTPELLIER FRENCH COURSE YOUTH APPLICATION FORM 2016
EIL Intercultural Learning 1 Empress Place, Summerhill North, Cork, Ireland Tel: +353 (0) 21 4551535 Fax: +353 (0) 21 4551587 info@studyabroad.ie www.studyabroad.ie www.volunteerabroad.ie a not-for-profit
More informationDUAL ENROLLMENT ADMISSIONS APPLICATION. You can get anywhere from here.
DUAL ENROLLMENT ADMISSIONS APPLICATION SM You can get anywhere from here. Please print or type: DUAL ENROLLMENT APPLICATION Last Name First Name Maiden/Middle Social Security # Local Address (include apt.
More informationTOEIC Bridge Test Secure Program guidelines
TOEIC Bridge Test Secure Program guidelines Notes on application Please confirm and consent to the Privacy Policy of IIBC and TOEIC Bridge Test Secure Program guidelines before you apply for the TOEIC
More informationInternational Undergraduate Application for Admission
CHECKLIST Application fee: US$30 (required) Completed application form Request academic records International Undergraduate Application for Admission Request exam score reports Copy of passport Completed
More informationTamwood Language Centre Policies Revision 12 November 2015
Do More, Learn More, BE MORE! By teaching, coaching and encouraging our students, Tamwood Language Centres helps students to develop their talents, achieve their educational goals and realize their potential.
More informationCalifornia State University, Los Angeles TRIO Upward Bound & Upward Bound Math/Science
Application must be completed in black or blue ink only. STUDENT INFORMATION Name: Social Security # - - First Middle Last Address: Apt.# Phone: ( ) City: State: Zip Code: Date of Birth: Place of Birth:
More informationUndergraduate and Graduate Study Abroad / Exchange Application Form
Undergraduate and Graduate Study Abroad / Exchange Application Form Photo Dear Prospective Student, Thank you for your interest in our courses! This application requests important information for your
More informationDuke University. Trinity College of Arts & Sciences/ Pratt School of Engineering Application for Readmission to Duke
Office Use Only Durham, North Carolina Application Fee $30 received Trinity College of Arts & Sciences/ Pratt School of Engineering Application for Readmission to Duke BEFORE completing this application,
More informationSummer in Madrid, Spain
Summer in Madrid, Spain with the Coast Community College District Program dates: July 2 - July 31, 2007 ACCENT International Consortium for Academic Programs Abroad Immerse yourself in experiential learning
More informationKobe City University of Foreign Studies Exchange Program Fact Sheet Japanese Language Program (JLP)
Kobe City University of Foreign Studies Exchange Program Fact Sheet Japanese Language Program (JLP) 2017-2018 Address Location Website Contact International Office Kobe City University of Foreign Studies(KISCH)
More informationUpward Bound Math & Science Program
Upward Bound Math & Science Program A College-Prep Program sponsored by Northern Arizona University New for Program Year 2015-2016 Students participate year-round each year beginning in 2016 January May
More informationThe Foundation Academy
The Foundation Academy 3675 San Pablo Road South, Jacksonville, FL 32224 PH (904) 493-7300 FAX (904) 821-1247 www.foundationacademy.com Application for Admission School Year 2014-2015 Enrollment is capped
More informationAnyone with questions is encouraged to contact Athletic Director, Bill Cairns; Phone him at or
SKYLINE GRIZZLIES ATHLETIC REQUIREMENTS and REGISTRATION FORMS 2017-18 According to School District #91 and Idaho High School Activities Association rules, all students interested in participating in athletics
More informationGRADUATE APPLICATION GRADUATE SCHOOL. Empowering Leaders for the Fivefold Ministry. Fall Trimester September 2, 2014-November 14, 2014
Fall Trimester September 2, 2014-November 14, 2014 Application Deadline: August 8, 2014 Classes Begin: September 2, 2014 Add/Drop Deadline: September 12, 2014 GRADUATE SCHOOL Empowering Leaders for the
More informationINSTRUCTIONS FOR COMPLETING THE EAST-WEST CENTER DEGREE FELLOWSHIP APPLICATION FORM
INSTRUCTIONS FOR COMPLETING THE EAST-WEST CENTER DEGREE FELLOWSHIP APPLICATION FORM Biographical Data are collected as part of record-keeping requirements and have no bearing on the selection process.
More informationFor international students wishing to study Japanese language at the Japanese Language Education Center in Term 1 and/or Term 2, 2017
For international students wishing to study language at the Language Education Center in Term 1 and/or Term 2, 2017 Overview of the Intensive Language Course The Language Education Center at Saitama University
More informationTHE LUCILLE HARRISON CHARITABLE TRUST SCHOLARSHIP APPLICATION. Name (Last) (First) (Middle) 3. County State Zip Telephone
THE LUCILLE HARRISON CHARITABLE TRUST SCHOLARSHIP APPLICATION 1. Name (Last) (First) (Middle) 2. Street City 3. County State Zip Telephone 4. Are you a permanent resident of Harrison County? 5. M F SSN
More informationNATIVE VILLAGE OF BARROW WORKFORCE DEVLEOPMENT DEPARTMENT HIGHER EDUCATION AND ADULT VOCATIONAL TRAINING FINANCIAL ASSISTANCE APPLICATION
NATIVE VILLAGE OF BARROW WORKFORCE DEVLEOPMENT DEPARTMENT HIGHER EDUCATION AND ADULT VOCATIONAL TRAINING FINANCIAL ASSISTANCE APPLICATION To better assist our Clients, here is a check off list of the following
More informationUNDERGRADUATE APPLICATION. Empowering Leaders for the Fivefold Ministry. Fall Trimester September 2, 2014-November 14, 2014
Fall Trimester September 2, 2014-November 14, 2014 Application Deadline: August 8, 2014 Classes Begin: September 2, 2014 Add/Drop Deadline: September 12, 2014 Winter Trimester December 1, 2014 March 13,
More informationCIN-SCHOLARSHIP APPLICATION
CATAWBA INDIAN NATION SCHOLARSHIP COMMITTEE 2014-2015 CIN-SCHOLARSHIP APPLICATION The Catawba Indian Nation Higher Education Scholarship Committee Presents: THE CATAWBA INDIAN NATION SCHOLARSHIP PROGRAM
More informationCy-Fair College Teacher Preparation and Certification Program Application Form
Cy-Fair College Teacher Preparation and Certification Program Application Form Date Name (circle one) Mr. Mrs. Ms. Miss. (Last, First, Middle) Address (Number, Street, Apartment Number) (City, State, Zip)
More informationStudy Abroad Application Vietnam and Cambodia Summer 2017
Study Abroad Application Vietnam and Cambodia Summer 2017 Program: COM 220: Storytelling Then and Now Vietnam and Cambodia Course Dates: 5/24/17 7/20/17; Trip Dates 6/16/17 7/3/17 Information meetings
More informationScholarship Application For current University, Community College or Transfer Students
(AN INSTRUMENTALITY OF THE TOWN OF WESTLAKE) 2014-2015 Scholarship Application For current University, Community College or Transfer Students In 2013 TSHA awarded in excess of $420,000 (market value) scholarships
More informationUW-Waukesha Pre-College Program. College Bound Take Charge of Your Future!
UW-Waukesha Pre-College Program College Bound 2017 Take Charge of Your Future! This is a great program to increase your knowledge on various subjects. Students will be engaged in workshops and hands-on
More informationSTUDENT APPLICATION FORM 2016
Verizon Minority Male Maker Program Directed by Central State University STUDENT APPLICATION FORM 2016 Central State University, Wilberforce, OH 45384 June 19-July 1, 2016 Camp and once monthly sessions
More informationIN-STATE TUITION PETITION INSTRUCTIONS AND DEADLINES Western State Colorado University
IN-STATE TUITION PETITION INSTRUCTIONS AND DEADLINES Western State Colorado University Petitions will be accepted beginning 60 days before the semester starts for each academic semester. Petitions will
More informationVocational Training. Pre-Application
Vocational Training Pre-Application 1 Vocational Training Application Checklist Dear Prospective Student: Congratulation on your choice to continue your education at an institute of Higher learning! Unfortunately,
More informationPlease fill in the application form below if you wish to apply for any of the study programs of the Faculty of Humanities.
20170112-001 Application Form for International Students EÖTVÖS LORÁND UNIVERSITY FACULTY OF HUMANITIES APPLICATION FORM FOR INTERNATIONAL STUDENTS ACADEMIC YEAR 2017/2018 INTERNATIONAL STUDENT APPLICATION
More informationNew Student Application. Name High School. Date Received (official use only)
New Student Application Name High School Date Received (official use only) Thank you for your interest in Project SEARCH! By completing the attached application materials, you are taking the next step
More informationHIGH SCHOOL PREP PROGRAM APPLICATION For students currently in 7th grade
HIGH SCHOOL PREP PROGRAM APPLICATION For students currently in 7th grade APPLICATION CHECKLIST: Applications can be mailed, faxed, or dropped off to the address below. Proof of Income (Household income
More informationInstructions & Application
2015-2016 St. Philip the Deacon Seminarian Scholarship Program Instructions & Application The John C. Kulis Charitable Foundation, a 501(c)(3) non-profit foundation, is commonly known as the Kulis Foundation.
More informationProMedica Defiance Regional Hospital Physicians Scholarship Fund Guidelines and Application
ProMedica Defiance Regional Hospital Physicians Scholarship Fund Guidelines and Application The purpose of the ProMedica Defiance Regional Hospital Physicians Scholarship Fund is to improve health care
More informationSAMPLE AFFILIATION AGREEMENT
SAMPLE AFFILIATION AGREEMENT AFFILIATION AGREEMENT FOR USE WITH A FOREIGN STUDY PROGRAM W I T N E S S E T H and WHEREAS, cordial relations exist between the United Stated of America and France; WHEREAS,
More informationGraduate Student Travel Award
Minimum Requirements for Eligibility: Graduate Student Travel Award 2016-2017 The applicant must provide travel-related information in a timely basis to the administrative staff and complete the UTRGV
More informationAPPLICATION FORM STUDY TOUR MASTER PROGRAMMES
Please complete in capital letters Gender: Male Female Family name: Preferred first name: Home University: Country of residence: Date of birth: / / Age: City of birth: Country of birth: Nationality 1:
More informationSpring Semester in Florence, Rome and Paris
Spring Semester in Florence, Rome and Paris with January 27 - April 26, 2014 ACCENT International Consortium for Academic Programs Abroad Immerse yourself in experiential learning Spend the Spring Semester
More informationIMPORTANT: PLEASE READ THE FOLLOWING DIRECTIONS CAREFULLY PRIOR TO PREPARING YOUR APPLICATION PACKAGE.
APPLICATION INSTRUCTIONS IMPORTANT: PLEASE READ THE FOLLOWING DIRECTIONS CAREFULLY PRIOR TO PREPARING YOUR APPLICATION PACKAGE. INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED. A STATEMENT ABOUT THE UNCF/MELLON
More informationGPI Partner Training Manual. Giving a student the opportunity to study in another country is the best investment you can make in their future
2017 - Version 1.0 Giving a student the opportunity to study in another country is the best investment you can make in their future GPI Partner Training Manual Contents Welcome...........................
More informationAPPLICATION FOR ADMISSION 20
Light from Africa - for Humanity Lesedi Lig uit Afrika vir die Mensdom la Afrika - go Batho APPLICATION FOR ADMISSION 20 Please complete this form carefully and return to us by handing it in: Sol Plaatje
More informationESIC Advt. No. 06/2017, dated WALK IN INTERVIEW ON
EMPLOYEES STATE INSURANCE CORPORATION ESIC-PGIMSR & ESIC MEDICAL COLLEGE ESIC Hospital & ODC (EZ) Diamond Harbour Road, P.O. Joka, Kolkata - 700104 Tel No: (033) 24381382, Tel/Fax No: (033) 24381176 E-mail:
More informationNIMS UNIVERSITY. DIRECTORATE OF DISTANCE EDUCATION (Recognized by Joint Committee of UGC-AICTE-DEC, Govt.of India) APPLICATION FORM.
Session: January APPLICATION FORM July Name of the Course: If Lateral Entry, Please Specify: Name and Address of the Guidance and Learning Resource Center: Photograph (do not Staple or Pin) To be filled
More informationDepartment of Social Work Master of Social Work Program
Dear Interested Applicant, Thank you for your interest in the California State University, Dominguez Hills Master of Social Work (MSW) Program. On behalf of the faculty I want you to know that we are very
More informationFreshman Admission Application 2016
We are pleased that you have requested application materials from Governors State University. We recommend that you review all program requirements carefully. Major requirements may vary. Please review
More informationCalifornia State University, Stanislaus Study Abroad Course and Program Planning and Approval Process
California State University, Stanislaus Study Abroad Course and Program Planning and Approval Process Course and Program Requirements Both state support and self-support Study Abroad courses and programs
More informationThe Tutor Shop Homework Club Family Handbook. The Tutor Shop Mission, Vision, Payment and Program Policies Agreement
The Tutor Shop Homework Club Family Handbook The Tutor Shop Mission, Vision, Payment and Program Policies Agreement Our Goals: The Tutor Shop Homework Club seeks to provide after school academic support
More informationSchock Financial Aid Office 030 Kershner Student Service Center Phone: (610) University Avenue Fax: (610)
Schock Financial Aid Office 030 Kershner Student Service Center Phone: (610) 436-2627 25 University Avenue Fax: (610) 436-2574 West Chester, PA 19383 E-Mail: finaid@wcupa.edu Title IV Federal Student Aid
More informationADULT VOCATIONAL TRAINING (AVT) APPLICATION
Attention Education Department AVT 2468 West 11 th Eugene, OR 97402 ADULT VOCATIONAL TRAINING (AVT) APPLICATION The following documents or information will be required to complete the application: Documents
More informationApplication for Admission
Application for Admission Princeton University The Graduate School Exchange/Visiting Student Scholar Program (nondegree) UPON COMPLETION, PLEASE SEND TO THE GRADUATE ADMISSIONS OFFICE ONE CLIO HALL PRINCETON,
More informationEnrollment Forms Packet (EFP)
Enrollment Forms Packet (EFP) Based on r student(s) grade and applicable circumstances, complete one enrollment package and review the information below to determine what should submit for each student
More informationAdult Vocational Training Tribal College Fund Gaming
Statement of Goals and Objectives Adult Vocational Training Tribal College Fund Gaming The Kaibab Band of Paiute Indians has instituted a long range goal of economic self-sufficiency and social development
More informationUniversity of Massachusetts Amherst
University of Massachusetts Amherst Graduate School PLEASE READ BEFORE FILLING OUT THE RESIDENCY RECLASSIFICATION APPEAL FORM The residency reclassification officers responsible for determining Massachusetts
More informationApplication for Admission to Postgraduate Studies
Ref A Application for Admission to Postgraduate Studies Please read the attached notes before completing the application form Section A Personal Details (Please see notes) Surname / Family name Email Mr
More informationFELLOWSHIP PROGRAM FELLOW APPLICATION
FELLOWSHIP PROGRAM 2016 17 FELLOW APPLICATION FELLOWSHIP PROGRAM ABOUT THE PROGRAM The Continuing Care Leadership Coalition (CCLC) Fellowship Program is a health care management experience designed to
More informationMeeting these requirements does not guarantee admission to the program.
.Eastern Connecticut State University, School of Education & Professional Studies Committee on Admission and Retention in Education (CARE) UNDERGRADUATE ELEMENTARY Teacher Certification Application Application
More informationWASHINGTON STATE. held other states certificates) 4020B Character and Fitness Supplement (4 pages)
WASHINGTON STATE TEACHER RENEWAL AND CONTINUING CERTIFICATION WAC 181-79A-250 APPLICATION INSTRUCTIONS (For more information visit our certification website at http://www.k12.wa.us/certification/) Attention:
More informationOakland University OU STEP
Application to Program This packet includes the information, instructions, and forms that you will need to submit an application to the Oakland University Secondary Teacher Education Program (). The STEP
More informationAPPLICATION DEADLINE: 5:00 PM, December 25, 2013
FCAST EXCHANGE APPLICATION APPLICATION INSTRUCTIONS GLOBAL UNDERGRADUATE EXCHANGE PROGRAM IN SERBIA 2014-2015 THE GLOBAL UGRAD PROGRAM IS SPONSORED BY THE U.S. DEPARTMENT OF STATE S BUREAU OF EDUCATIONAL
More informationApplication Paralegal Training Program. Important Dates: Summer 2016 Westwood. ABA Approved. Established in 1972
Business, Management & Legal Programs Application 2016-2017 Important Dates: Summer 2016 Westwood Paralegal Training Program Monday to Friday, 9am to 12:30pm Application Deadline: May 27, 2016* Program
More informationFULBRIGHT MASTER S AND PHD PROGRAM GRANTS APPLICATION FOR STUDY IN THE UNITED STATES
FULBRIGHT MASTER S AND PHD PROGRAM GRANTS APPLICATION FOR STUDY IN THE UNITED STATES ***READ ALL INSTRUCTIONS AND INFORMATION CAREFULLY BEFORE COMPLETING APPLICATION*** ELIGIBILITY Pakistani citizens with
More informationARKANSAS TECH UNIVERSITY
ARKANSAS TECH UNIVERSITY Procurement and Risk Management Services Young Building 203 West O Street Russellville, AR 72801 REQUEST FOR PROPOSAL Search Firms RFP#16-017 Due February 26, 2016 2:00 p.m. Issuing
More informationKeene State College SPECIAL PERMISSION FORM PRACTICUM, INTERNSHIP, EXTERNSHIP, FIELDWORK
Keene State College SPECIAL PERMISSION FORM PRACTICUM, INTERNSHIP, EXTERNSHIP, FIELDWORK DEPARTMENT NUMBER (Official use only) CREDITS COURSE TITLE: STUDENT NAME: (print) TERM: ID#: COURSE OUTLINE: Description
More informationSl. No. Name of the Post Pay Band & Grade Pay No. of Post(s) Category
National Institute of Open Schooling (An autonomous organization under the Deptt. of School Education & Literacy, MHRD Govt. of India) A-24-25, Institutional Area, Sector 62, NOIDA- 201309, Uttar Pradesh
More informationDO SOMETHING! Become a Youth Leader, Join ASAP. HAVE A VOICE MAKE A DIFFERENCE BE PART OF A GROUP WORKING TO CREATE CHANGE IN EDUCATION
DO SOMETHING! Become a Youth Leader, Join ASAP. HAVE A VOICE MAKE A DIFFERENCE BE PART OF A GROUP WORKING TO CREATE CHANGE IN EDUCATION The Coalition for Asian American Children and Families (CACF) is
More informationInformation and Instructions
Application for Admission: Radiation Therapy Certificate Program The University of North Carolina Hospitals Department of Radiation Oncology Information and Instructions 1. Use this application only for
More informationApplication Form Master Course Altervilles First Year M1
http://altervilles.universite-lyon.fr/ Application Form Master Course Altervilles 2015-2016 First Year M1 Application form to be sent to: christelle.morel.journel@univ-st-etienne.fr harold.mazoyer@sciencespo-lyon.fr
More informationAddress. Zip Code City State Country
Application Form for a Scholarship awarded by the University of Fribourg Academic Year 2012-2013 Reseach Stay at PhD LEVEL / Application Deadline February, 28th 2012 for a stay during Autumn Semester (Term)
More informationIllinois Grand Assembly - Academic Scholarship Application
Illinois Grand Assembly - Academic Scholarship Application In this Scholarship Application, The International Order of the Rainbow for Girls in Illinois and Illinois Grand Assembly are used synonymously.
More informationBRAG PACKET RECOMMENDATION GUIDELINES
BRAG PACKET RECOMMENDATION GUIDELINES If you are requesting a recommendation and/or secondary school report from your counselor to a college or university for admission or scholarship consideration, please
More informationU N I V E R S I T E L I B R E D E B R U X E L L E S DEP AR TEM ENT ETUDES ET ET U IAN TS SER VICE D APPU I A LA G E STION DES ENSEIGNEMEN TS (SAGE)
INTERNSHIP AGREEMENT Note: The jury of which the student reports will not allow him to complete his PAE (Student Academic Program) with the internship credits while this student has not passed all the
More informationWhite Mountains. Regional High School Athlete and Parent Handbook. Home of the Spartans. WMRHS Dispositions
White Mountains WMRHS Dispositions Grit Self Regulation Zest Social Intelligence Gratitude Optimism Curiosity Regional High School Athlete and Parent Handbook "Don't measure yourself by what you have accomplished,
More informationApplication for Fellowship Theme Year Sephardic Identities, Medieval and Early Modern. Instructions and Checklist
2018-2019 Theme Year Sephardic Identities, Medieval and Early Modern Instructions and Checklist Please adhere to the following stipulations when applying for the Frankel Institute Fellowship: University
More informationBellevue University Admission Application
Bellevue University Admission Application Bellevue University is an open admissions university. Once you submit your application, we will begin the process of evaluating your credits and developing your
More informationVerification Program Health Authority Abu Dhabi
ONLY COMPLETE FORMS WILL BE ACCEPTED Verification Program Health Authority Abu Dhabi Facility Name (If applicable) PearsonVue Registration ID (if applicable) Personal Details: Please give your name in
More informationMSW Application Packet
Stephen F. Austin State University Master of Social Work Program Accredited by: The Council on Social Work Education MSW Application Packet P. O. Box 6104, SFA Station 420 East Starr Avenue Nacogdoches,
More informationTable of Contents. Internship Requirements 3 4. Internship Checklist 5. Description of Proposed Internship Request Form 6. Student Agreement Form 7
Table of Contents Section Page Internship Requirements 3 4 Internship Checklist 5 Description of Proposed Internship Request Form 6 Student Agreement Form 7 Consent to Release Records Form 8 Internship
More informationDates and Prices 2016
Dates and Prices 2016 ICE French Language Courses www.ihnice.com 27, Rue Rossini - 06000 Nice - France Phone: +33(0)4 93 62 60 62 / Fax: +33(0)4 93 80 53 09 E-mail: info@ihnice.com 1 FRENCH COURSES - 2016
More informationPierce County Schools. Pierce Truancy Reduction Protocol. Dr. Joy B. Williams Superintendent
Pierce County Schools Pierce Truancy Reduction Protocol 2005 2006 Dr. Joy B. Williams Superintendent Mark Dixon Melvin Johnson Pat Park Ken Jorishie Russell Bell 1 Pierce County Truancy Reduction Protocol
More information20 HOURS PER WEEK. Barcelona. 1.1 Intensive Group Courses - All levels INTENSIVE COURSES OF
Barcelona 2014 1.1 Intensive Group Courses - All levels These courses consist of 4 hours tuition per day, from 09.30 to 13.30, Monday to Friday. The average number of students per group is 7 and there
More informationEmergency Medical Technician Course Application
Community Health Network Emergency Medical Technician Course Application January 2018 First day of Class January 8,2018 EMERGENCY MEDICAL SERVICES & EDUCATION Thank you for your consideration in choosing
More informationParent Information Welcome to the San Diego State University Community Reading Clinic
Parent Information Welcome to the San Diego State University Community Reading Clinic Who Are We? The San Diego State University Community Reading Clinic (CRC) is part of the SDSU Literacy Center in the
More informationAdvertisement No. 2/2013
OFFICE OF THE REGISTRAR ASSAM AGRICULTURAL UNIVERSITY JORHAT-785013 Advertisement No. 2/2013 Applications from the Indian citizens are invited for 19 (nineteen) posts of Jr. Scientists and equivalent rank
More informationYouth Apprenticeship Application Packet Checklist
Youth Apprenticeship Application Packet Checklist Incomplete applications will not be forwarded to hiring companies and will delay the application process. A complete application packet should consist
More informationUniversity of Indonesia
University of Indonesia Q1. Full name of your institution in English University of Indonesia Official name: UNIVERSITAS INDONESIA Q2. Student quota: number of exchange students you can accommodate from
More informationInterview Contact Information Please complete the following to be used to contact you to schedule your child s interview.
Cabarrus\Kannapolis Early College High School Interview Contact Information Please complete the following to be used to contact you to schedule your child s interview. Student Name Student Number Middle
More informationSpecial Diets and Food Allergies. Meals for Students With 3.1 Disabilities and/or Special Dietary Needs
Special Diets and Food Allergies Meals for Students With 3.1 Disabilities and/or Special Dietary Needs MEALS FOR STUDENTS WITH DISABILITIES AND/OR SPECIAL DIETARY NEEDS Nutrition Services has a policy
More informationPlacentia-Yorba Linda Unified School District 1301 E. Orangethorpe Ave., Placentia, CA (714)
1 INTERNATIONAL STUDENTS Welcome to the. This information is for international students who are seeking a one year public high school experience for Grades 9-12. Esperanza High School (www.esperanzahs.net),
More informationAttach Photo. Nationality. Race. Religion
Attach Photo (FOUR copies of recent passport-sized photos) PC S/N C/N Class F/W For Office Use Date of Registration (dd/mm/yy) Year of Admission Programme - Primary 1 2 3 4 5 6 (circle the programme the
More informationBoys & Girls Club of Pequannock 2017 Summer Camp Registration COMPLETE BOTH SIDES
Boys & Girls Club of Pequannock 2017 Summer Camp Registration COMPLETE BOTH SIDES Child s Name: Date of Birth: Address: Age: Gender: City: State: Zip: Grade in Sept 17 : Home Phone: Emergency Phone: T-Shirt
More informationApplication for Postgraduate Studies (Research)
Application for Postgraduate Studies (Research) Please complete clearly. This form will be photocopied. Applicant Number (for office use only). For office use only: Admissions Office Admissions Tutor Interview
More informationThe Sarasota County Pre International Baccalaureate International Baccalaureate Programs at Riverview High School
2016/2017 The Sarasota County Pre International Baccalaureate International Baccalaureate Programs at Riverview High School See Page 8 for explanation APPLICATION FOR ADMISSION 2016/2017 1 Ram Way Sarasota,
More informationJoint Study Application Japan - Outgoing
Joint Study Application Japan - Outgoing 1 General Info 1.1 ABOUT THIS PROGRAM Under the specific agreements, the Japanese Partner Institution waives application, admission and tuition fees for students
More informationLiving on Campus. Housing and Food Services
Living on Campus at At the the center Center of of it It all. All 1406 Asp Ave., Room 126 Norman, OK 73019 Phone: 405-325-1284 FAX: 405-325-7117 1406 Asp Ave., Room 126 E-Mail: info@housing.ou.edu Norman,
More informationPlease complete these two forms, sign them, and return them to us in the enclosed pre paid envelope.
Anatomical Donation Program Jack and Pearl Resnick Campus 1300 Morris Park Avenue, Rm F627N Bronx, NY 10461 Phone: 718.430.3142 Fax: 718.430.8997 anatomical.gifts@einstein.yu.edu We sincerely thank you
More informationACCENT International Consortium for Academic Programs Abroad
Fall Semester in Paris, France with City College of San Francisco Program dates: September 1 - December 2, 2016 ACCENT International Consortium for Academic Programs Abroad Paris, France Immerse yourself
More informationStudent Handbook Information, Policies, and Resources Version 1.0, effective 06/01/2016
DataScience@SMU Student Handbook Information, Policies, and Resources Version 1.0, effective 06/01/2016 Overview Introduction The DataScience@SMU Program Student Rights and Responsibilities Calendar Academic
More informationADULT VOCATIONAL TRAINING PROGRAM APPLICATION
Ph: ADULT VOCATIONAL TRAINING PROGRAM APPLICATION Applicant: Enclosed is the application packet you requested for the Adult Vocational Training Program (AVT). If you are a first time applicant, the AVT
More informationCypress College STEM² Program Application
Academic Year 2016 2017 ********************************************************************************* INSTRUCTIONS Complete this application thoroughly and submit ONLINE OR IN PERSON. Make sure to
More informationTHIRD YEAR ENROLMENT FORM Bachelor of Arts in the Liberal Arts
THIRD YEAR ENROLMENT FORM Bachelor of Arts in the Liberal Arts *Please return this completed form to the College Office by the date in your Offer Letter.* In order to comply with Commonwealth and reporting
More information