International Exchange Student Application Form
Download a blank fillable International Exchange Student Application Form in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete International Exchange Student Application Form with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2FGCU International Exchange Student Application
Type or print in black ink.
Include your full name on all attachments.
Personal Information:
FGCU OFFICE USE ONLY: UIN 815 _ _ _ _ _ _
1.
__________________________________________ _________ _____________________________________ ______________________
Last Name/Family Name
Jr., III, etc
First Name/Given Name
Middle Name
U.S. Social Security Number ____/____/____ (
leave blank if you do not have this)
Date of Birth ______/_____/_______
___Male
___ Female
Nation of Citizenship: ____________________________
month day
year
__
City of Birth: ______________________ Country of Birth: _______________________ Current Country of Residence: ___________________
2.
Academic Program Information:
___Fall (August 19-December 11, 2015)
___Spring (January 6 – April 30, 2016)
___Undergraduate
___ Graduate
___For two semesters: Fall/Spring (August 19, 2015 – April 30, 2016)
___Burgundy School of Business, Dijon MBA Program (Note additional requirements)
Academic Major: ____________________________
___Other
______________________
_____________________
Start date
End date
3. Permanent Address: Information used for all immigration documents and correspondence.
________________________________________________________________ ____________________________________________________
Number and Street Address
Apt. Number
City
County/Province
__________________________
____________
(_______)_________________________
(______)__________________________
State/Nation
Zip Code
Daytime Telephone Number
Home Telephone Number
(______)_____________________
__________________________________________________
Fax Number
Email Address (if available)
4. Emergency Contact: if necessary, indicate who you wish the university to contact.
_________________________________ _____________________________ _________
(_______)__________________________
Last Name
First Name
Initial
Daytime Telephone Number
________________________________________________________________________
(______)_________________________
Number and Street Address
Apt. Number
Home Telephone Number
__
__
________________________________________________________________________
Relationship:
Father
Mother
City
State/Nation
Zip Code
__
Legal Guardian Other:_____________
5. Immigration Information: Do you currently hold a U.S. Visa?
If YES: please provide photo copies of all U.S. immigration forms and complete the following information
What institution issued your last I-20 or DS2019 :___________________________
Dates of Attendance: _________ to ___________
Have you been granted a J-1 U.S. Visa in the last 6-12 months? __Yes __No
What type of U.S. Visa do you currently hold? __F1 __F2 __J1 __J2 Other____
If NO: What type of U.S. Visa are you applying for? __F1 __F2 __J1 __J2 Other____
(Exchange students need a J-1 visa)
H:\EVP\EV Forms\2015‐2016 forms\FGCU Intl Exchange Student Application
10/16/2014
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business