Foreign Exchange Student Appointment Pre-screening
Please complete this form to help us understand your background and schedule your appointment for the exchange program.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Nationality
*
Current School or University
*
Academic Level
*
Please Select
High School
Undergraduate
Graduate
Other
Preferred Appointment Date and Time
*
Program of Interest
*
Please Select
Semester Exchange
Summer Program
Internship
Other
English Language Proficiency
*
Native
Advanced
Intermediate
Basic
Have you participated in an exchange program before?
*
Yes
No
Please briefly state your motivation for joining the exchange program.
*
Emergency Contact Name and Relationship
*
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Required Documents Checklist
Academic Transcript
Language Certificate
Motivation Letter
Other
Submit Pre-screening
Should be Empty: