Queens College, Education Abroad Office

Queens College Student Exchange Application

Name ______Birth Date______/______/______

Host University Abroad______

Year______Major______GPA______

I. Please note: This information does not affect your admission to the program.

1. Have you ever traveled abroad?

If yes, where? ______

2. Have you ever had a shared living experience?

If yes, please explain: ______

3. Describe a conflict you’ve had in the past (with a co-worker, employer or fellow student) and how it was resolved.

______

4. What do you hope to gain from this experience?

______

5. Please share, if any, personal, professional or educational experiences that have shaped your interest for this specific study abroad experience.

______

6. Upon your return how will you apply your study abroad experience in order to further your future as a student, professional and global citizen?

______

7. How will you utilize your experiences abroad to enhance the Queens College community?

______

______

______

______

II. On a separate piece of paper, type (or print clearly and legibly) a 200 word statement about where you wish to study abroad and why.

III. Please submit one letter of recommendation.

RECOMMENDATION FORM

Applicant: Please type or print. Give this form and an envelope to the person whom you have asked to recommend you. When that person returns the sealed envelope to you, include it with your other application materials.

Applicant’s name: ______

Proposed program: ______

Term applying for: ______

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Recommender’s name: ______

Position/ Title: ______

Address: ______

Phone: ______

E-mail: ______

Please rate the applicant on the qualities below:

Unsatisfactory Fair Good Excellent

Intellectual 1 2 3 4

Analytical Ability 1 2 3 4

Oral Expression 1 2 3 4

in English

Written Expression 1 2 3 4

in English

Ability to Work Well 1 2 3 4

With Others

Ability to Work 1 2 3 4

Independently

Motivation 1 2 3 4

Overall 1 2 3 4

1.  Is there any reason you would not recommend the applicant for admission? _____yes ______no

2.  Please use the space below to make any additional comments you think important concerning the applicant.

______

______

______

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Signature Date