Department of International Affairs / APPLICATION FOR
FOREIGN EXCHANGE
STUDENTS

*Fill out the form on a computer

PERSONAL INFORMATION
FIRST AND MIDDLE NAMES / RECENT PHOTO
3X4
LAST NAMES
RESIDENCE ADDRESS / COUNTRY / CITY
RESIDENCE TELEPHONE OR CELL PHONE NUMBER / DATE OF BIRTH / AGE
GENDER MALE FEMALE
NATIONALITY / EMAIL ADDRESS
PASSPORT NO.
APPLICATION INFORMATION
UNDERGRADUATE ACADEMIC PROGRAM TO WHICH YOU ARE APPLYING
ACADEMIC SEMESTER FOR WHICH YOU ARE APPLYING
COMMENTS
PERIOD FOR WHICH YOU ARE APPLYING
PERIOD ONE: JANUARY TO MAY 201 / PERIOD TWO: JULY TO DECEMBER 201
COURSES TO BE TAKEN (* Preliminary courses subject to capacity or group opening)
CODE / COURSE* / CREDITS
EXCHANGE INFORMATION
HOME UNIVERSITY
ADDRESS OF HOME UNIVERSITY / TELEPHONE / FAX
NAME OF THE COORDINATOR IN CHARGE / EMAIL ADDRESS
SCHOOL TO WHICH THE STUDENT APPLICANT BELONGS / SEMESTER OR YEAR OF STUDY
GRADE AVERAGE / LANGUAGES SPOKEN
DO YOU HAVE FAMILY IN COLOMBIA YES NO / ADDRESS
TELEPHONE
STUDENT’S EMERGENCY CONTACT INFORMATION
PERSONAL INFORMATION FOR CONTACT 1
FIRST AND LAST NAMES / EMAIL ADDRESS
RELATIONSHIP OR CONNECTION / ADDRESS
TELEPHONE / CELL PHONE
CITY / COUNTRY

DOCUMENTS THAT YOU MUST ATTACH TO THIS APPLICATION:

1.  Original copy of letter of introduction to the student from the home university, including an opinion of his/her Behavior or Conduct, signed by the Institution.
2.  Original copy of grade transcript (applies only to Transfers for more than one semester).
3.  Original copy of student’s commitment letter of intent, signed by the student.
4.  Photocopy of the Student Card of the home institution.
5.  Photocopy of Passport with photograph (current).
6.  Photocopy of Student Visa (current) and Foreigner Identification Card (the latter will be processed directly by the student upon his/her arrival in the country).
7.  A document that attests to an advanced level of Spanish, equivalent to B2 of the Common European Framework of Reference for Languages (if the student does not speak Spanish).
8.  Photocopy of the international medical insurance policy (deliver a copy to the Department of International Affairs upon your arrival in the country).
9.  4 color photographs (including the application form photo).

The Home University should send all of the required application documents to Universidad Piloto de Colombia via email at , and the originals to the International Affairs Coordination, to the attention of María Adelaida Cuello, address: Carrera 9 # 45A-44, Bogotá-Colombia.

______
SIGNATURE OF APPLICANT / ______
SIGNATURE AND SEAL OF
HOME UNIVERSITY’S
RESPONSIBLE PARTY