Outgoing Exchange Program Application

(updated for the Fall 2018 Semester)

To apply to an exchange program you must complete and submit the following:

  1. Exchange Program Application (enclosed)*please type (do not write by hand)
  2. Course Equivalency Form (enclosed)*please type (do not write by hand)
  3. Copy of official St. John’s University transcript
  4. Photocopy of your passport – photo and biographical pages only, must be valid for 6 months after your program end date
  5. A 1page, type-written essay outlining your reasons and motivation for studying abroadat your selected host university and location. The essay should include 1) your motivation for and preparation to study abroad on this independently-minded program, and 2) how you hope your participation in the exchange program will contribute to your academic and professional growth.
  6. A 1 page, type-written essay describing how you plan to approach and prepare for your academic studies in an international setting. Think about the differences you may encounter in the classroom and examination structure, and how your approach can support your continued studies.

Application Deadlines

  • Fall Semester Programs: March 1
  • Spring Semester Programs: October 1

Please return the Exchange Program Application and all supporting documents to:

Anna Rungwerth

Coordinatorof Global Student Services

Office of Global Studies

Sun Yat Sen Memorial Hall

St. John’s University

8000 Utopia Parkway

Queens, NY 11439

Page 1 of 4

Outgoing ExchangeProgram Application

I am applying for:One semesterTwo Semesters

I plan to start in:FallSpring

I am applying for the exchange program.

Host University NameCityCountry

Personal Information

Full Name:

First (given name)Last (surname)Middle

GenderMaleFemaleDate of Birth:

(mm/dd/YYYY)

X Number:County of Citizenship

Email Address:

Current Address: / Permanent Address:
Postal Code: / Postal Code:
Cell Phone: / Home Phone:

Do you have a passport? Yes No Passport Number Exp. Date:

If not, please begin the application process for a passport. You may visit the U.S. Department of State Web site at or visit your local post office for an application and list of requirements. Your passport must be valid for 6 months after your program end date.

In which St. John’s school are you enrolled?

St. John’sCollege of Liberal Arts and SciencesCollege of Professional Studies

The PeterJ.TobinCollege of BusinessThe School of Education

College of Pharmacy and Health Sciences

Current year of study:

FreshmanSophomore

JuniorSenior

Other:

Major:Minor:

Current GPA:Are you an Ozanam Scholar? Yes No

Expected graduation date:

______

Financial Aid:
I intend to apply for financial assistance.

If you intend to apply for financial assistance, we require the signature of a Financial Aid Officer to ensure that you are aware of all your funding options. The Office of Global Studies contact in the Office of Student Financial Services is Kayon McKenzie ().

Financial Aid Officer (print name)Date

Signature of Financial Aid Officer

I do not intend to apply for financial assistance.

Page 1 of 4

St. John’s University

Office of Global Studies

Exchange Program Course Equivalency Form

Name: X Number

Exchange Program:

(University Name)(City)(Country)

Study Abroad Term: Fall Spring Major:

Please complete one Exchange Program Course Equivalency Form for each term you will be abroad.You must provide8-10 courses and course descriptions to your St. John’s University Academic Advisor to be reviewed for course equivalency approval. Your Academic Advisor must approve6-8 courses for each term abroad to facilitate registration at your Host University.You must provide the course description for each of these classes to your Academic Advisor either before or during your advisement appointment.

Host University Course
Course Number/Title – please type (do not write by hand) / St John’s University Equivalency
Course Number/Title – please type (do not write by hand) / St. John’s University
Credits

Final determination of credit will be made upon completion of courses.

______

Academic Advisor SignatureAcademic Advisor (Print Name)Date

Applicants for Dauphine University and PUC-Chile will need to receive language approval from the following Professors:

Dauphine University:

Dr. Zoe Petropoulou, Associate Professor of Languages and Literatures.______

You can set up an appointment by emailing: . Zoe Petropoulou SignatureDate

PUC-Chile:

Dr.Alina Camacho-Gingerich, Chair of the Department of Languages and Literatures; ______

and Dr. Alina Camacho-GingerichDate

Dr. Nicholas Toscano, Professor of Languages and Literatures.

You can set up an appointment by emailing:nd . ______

Dr. Nicholas ToscanoDate

Page 1 of 4