OFFICE OF INTERNATIONAL EDUCATION STUDY

OFFICE OF INTERNATIONAL EDUCATION STUDY

OFFICE OF INTERNATIONAL EDUCATION
STUDY ABROAD PROGRAMS
Exchange Application
Deadline for applications:
May 15 for academic year applications
May 15 for Fall semester applications
October 31 for Spring semester applications
PLEASE SELECT DESIRED ATTENDANCE:
Full Year _____
Fall Semester _____
Spring Semester _____
SENDING UNIVERSITY: _________________________________________
The following are required to complete the application process:
 Application for Exchange Program form (attached)
 Academic Transcript
 Student Statement of Purpose
 Letter of Recommendation
 1 Passport-size Photo
 Copy of your passport page
For information on our institution, please go to our webpage at http://www.utica.edu. Detailed
information on important dates for each semester may be found under “Academics,”
“Calendar/Deadlines.”
After you have completed the above requirements, please return all forms to the International Officer
at your university for approval and transmittal to us. We look forward to having you join us at Utica
College!
Office of International Education
Daniel OToole, M.S.
Director of International Programs
Phone: (315)792-3082
Fax: (315)792-3061
1600 Burrstone Road
Voice: 315.792.3001
Utica, NY 13502-4892
Fax: 315.792.3002
www.utica.edu
OFFICE OF INTERNATIONAL EDUCATION
1600 Burrstone Road
Utica, NY 13502
Application for Exchange Program
Name:
First Name
Middle Name
Date of Birth:
/
/
Month /
Day /
Family Name
Place of Birth:
Year
Country
City
Male
Citizenship:
Female
Country
Permanent Residency:
Country
Permanent Address:
Telephone # (with country code):
Fax #:
E-Mail Address:
Emergency Contact Person:
Name
Relationship
Emergency Contact Telephone #:
Emergency Contact Address:
Field of Study:
Exchange (check one):
Aberystwyth
Abo Akademi
Dong-Eui
ELTE
Lingnan
Kansai Gaidai
Peru-UPC
Strathclyde
1600 Burrstone Road
Voice: 315.792.3001
Utica, NY 13502-4892
Fax: 315.792.3002
www.utica.edu