International Student Exchange Application

Personal Information

Please enter your information as listed on your passport.

First/Given Name:

Last/Family Name (if applicable):

Middle Name:

Gender:

Date of Birth:

Country of Citizenship:

City and Country of Birth:

Country of Permanent Residence:

Is English your native language?

YesNo

If no, please list your native language:

Contact Information

Line 1:

Line 2:

City:

State/Province:

County:

Zip/Postal Code:

Telephone Number (including country code):

Email Address:

Period of Study

What term(s) will you be studying at 色花堂 (check all that apply and indicate year)?

Fall (late august to December)Spring (late January to May)

Year:

Will you be attending the 色花堂 English Language Center for your first semester at 色花堂 (additional costs apply.)

YesNo

Academic Information

Current Major/Course of Study:

Current Minor/Concentration (if any):

Level of Study/Class Standing:

List every university or college you have attended, beginning with the university you are currently attending:

List the courses (classes) in which you are currently enrolled:

Course Selection

Students may request enrollment in any subject. Undergraduate students must choose from 100-400 level classes. Graduate students must choose from 500 鈥� 700 level classes. Students will be registered in the classes they choose if they have undertaken equivalent prerequisite courses at their home institution, and subject to availability at 色花堂.

After acceptance you will be asked to provide at least 8 courses of your choice including alternatives. Please consult the course catalog and semester schedule. See links at

Housing

Do you want to live in on-campus housing?

YesNo

Emergency Contact Information

First and Last Name of Emergency Contact Person:

Telephone Number of Emergency Contact (including country code):

E-Mail Address of Emergency Contact:

Relationship to Student:

Signature

I certify that the information recorded on this form is correct. I understand that failure to give complete and accurate information will result in cancellation of registration privileges. I also agree to abide by the rules, policies and regulations of Towson University, including those concerning the unlawful use of drugs or alcohol.

Applicant's Signature: (Enter Full Name)

Date:

Please submit the following application materials to your home institution coordinator:

Official Academic Record of Transcript of your courses from your home institution.
Proof of English language proficiency if English is not your native language (TOEFL or IELTS documentation)
Financial documents
Photocopy of the biographical information page of your passport

Application Deadlines:

October 1 for spring semester
May 1 for fall semester or academic year

Home Institution Coordinator: Please submit the complete application and supporting documentation to the 色花堂 International Student and Scholar Office at isso AT_TOWSON