Study Abroad/Exchange Application

Transcription

1 Study Abroad/Exchange Application Minimum Requirements: GPA of at least 2.5(undergrad) 3.0 (grad) and in good standing. Please note that some programs require a higher GPA. Minimum Sophomore standing at the time of participation and prior status as a UTSA student for one semester Must enroll full-time while abroad Please Print or Type Banner ID: of Birth: Last First Middle Initial Local Address: Permanent Address: Phone Number: UTSA GPA Cumulative Address: GPA Number of Hours Completed at UTSA Major Expected Graduation Level: FR SO JR SR GR Number of Credit Hours to be Earned Program Location and s Complete Application consists of: UTSA Exchange/Study Abroad Application (this form) Specific Program Application (e.g. ISA, AIFS, Butler, etc.) One Official UTSA Transcript Reference Form (included). Must be from a professor at UTSA who has taught you. Completed Course Approval Form (included) Completed Budget Form (included) Fees: $50 Application Fee (non-refundable; to be charged upon submission of the application) $100 Registration Fee (to be charged upon acceptance to UTSA Study Abroad program; Refundable up to one month prior to your scheduled departure. You MUST notify OIP if you cancel your program; otherwise all fees are nonrefundable.) *Both fees will be charged to your UTSA Account, and will be visible on ASAP Privacy Notice: With a few exceptions, you are entitled to be informed about the information U.T. San Antonio collects about you. Under Sections and of the Texas Government Code, you are entitled to receive and review this information. Under Section of the Texas Government Code, you are entitled to have U.T. San Antonio correct information about you that is held by us and that is incorrect, in accordance with the procedures set forth in the University of Texas System Business Procedures Memorandum 32. The information that U.T. San Antonio collects will be retained and maintained as required by Texas records retention laws (Section et seq. Of the Texas Government Code) and rules. Different types of information are kept for different periods of time. 1

2 As part of the application process, please answer each of the following questions on a separate page. Study Abroad/Exchange Application Why are you interested in participating in a study abroad/exchange program? What do you hope to gain from the experience? How do you feel you will adjust to a new culture and academic environment, even if for a brief period of time? What leadership and/or extra curricular activities have you been involved in during the last two years? You may include volunteer work and employment. What are your personal and academic goals for a study abroad/exchange program? Please list any previous travel experience, with location and duration. 2

3 Study Abroad/Exchange Course Approvals Form Banner ID: of Birth: Last First Middle Initial Phone Number: UTSA GPA Address: Cumulative GPA Number of Hours Completed at UTSA Major Expected Graduation Level: FR SO JR SR GR Program Location and s When do you plan to study abroad? Fall Spring Summer Year What courses do you plan to take? COURSE TITLES: *Must provide course description from catalog or web site. This process may take up to 2 weeks for approval. Please schedule an appointment with your advisor well in advance of program deadline. COURSE DISCIPLINE/ NUMBER Upper Division Y/N Use in Plan Major/Support/Core/Minor Number of Credit Hours Conditional: Must petition acceptance once course transfers (Y/N) Please ensure that you maintain a copy of this form for your records. It is your responsibility to contact your advisor if you enroll in courses not listed above. Transfer credit is NOT guaranteed without approval from your advisor. Advisor Signature / Center / Location Student 3

4 Banner ID: Phone Number: Address: Study Abroad/Exchange Budget Form of Birth: Last First Middle Initial Number of Hours Completed at UTSA UTSA GPA Cumulative GPA Expected Graduation Level: FR SO JR SR GR Major Program Location and s When do you plan to study abroad? Fall Spring Summer Year EXPENSE SUMMARY FOR DURATION OF PROGRAM ** DOLLAR AMOUNT Tuition : Fees Books Travel (airfare) Room Board Other (Specify) Total I certify that the information contained in this application is true and accurate to the best of my knowledge. I further understand that falsifying information contained in the application may jeopardize my participation in a UTSA Study Abroad/Exchange program. Student Study Abroad Coordinator ** Contact program provider for an accurate price breakdown. 4

5 Study Abroad/Exchange Reference Form Completed Form should be submitted to the MARCH 1 FOR FALL PROGRAMS Banner ID: Program Location and s UTSA Professor Completing Reference Department and Phone Number of Birth: Under US Federal Law, students are permitted access to certain education records. Section 438 (a)(2)(b) of Public Law provides that a student may waive the right to inspect confidential letters of recommendation. If you waive your right to inspect the information requested by this form, please sign below. Applicant s Signature To be completed by the individual providing the reference. The student named above is applying to study abroad through the University of Texas at San Antonio. UTSA is concerned with an applicant s ability to represent UTSA abroad and thrive in a foreign environment. Study Abroad can be a stressful time, both academically and socially. Please comment on the student s abilities based on comparison with other students at similar stages in their academic careers. How long have you known the student, and in what capacity? Academic Work Motivation Ability to work on his/her own Ability to express thoughts in writing and speaking Maturity Self-reliance and Independence Ability to represent UTSA Abroad Suitability to study abroad Excellent Above Average Average Below Average Poor Unable to Judge 5

6 Please comment specifically on the applicant in terms of the following, to the best of your knowledge: 1. Academic Suitability for study abroad 2. Personal suitability for living abroad 3. How study abroad would enhance the student s academic career 4. Any other relevant information to support the student s application Signature of individual providing reference Printed Name Title UTSA Campus Address and Phone Submit form to the UTSA by the deadline. 6