OIE Exchange Student Application

APPLICATION INFORMATION

First Name/Given Name*

Middle Name (if any)

Legal Sex (as on passport)

Last Name/Family Name/Surname*

Birthdate*

Gender Identity

Mailing Address*

Country

Street

City

Region

Postal Code

Permanent Address*

Country

Street

City

Region

Postal Code

Phone Number*

Email*

Secondary Email

City of Birth*

Country of Birth*

Country of Citizenship*

Arrival Term*

Length of Study*

Program*

Major(s)/Program of Interest*

Country of Legal Residence

Position or Occupation in Home Country

IMPORTANT: If you already have a passport please list your information below. PLEASE NOTE: The name listed on this application should EXACTLY match the name on your passport. If you do not have a passport you must complete your name above as it will likely appear in your passport.

Passport Number

Country of Issue

EDUCATIONAL HISTORY

Please include your current school in the educational history section below. Please list all colleges or universities you have attended or now attending. List them in order of most recent to oldest. Failure to report all colleges and universities attended or submission of falsified transcripts may result in dismissal. Please enclose official copies of all transcripts or academic records from your current university.

Delete_ID_
Schools
Name of School (List Current School First)* City:* Country:* Diploma or Certificated Received or To Be Awarded* Dates Attended From (List Current School First) * Dates Attended From (List Current School First) * Dated Attended To* Dated Attended To*

Add School

APPLICANT SIGNATURE

IMPORTANT: I understand that I must have a medical insurance policy (insurance can be purchased at WSU). I also understand that I will have a tuberculin skin test after my arrival at the University. In addition, I verify the above information is true and complete.

By typing your name in the signature field below, you affirm that the application you have completed is your own work and the information is factually true. (Please only sign with the English alphabet.) *

Date*

SUPPORTING DOCUMENTS

Certificate of Financial Support

Financial Support Documentation

Additional Financial Support Documentation

Transcripts

Additional Transcripts

English Proficiency Letter or Test Scores

Exchange Student Consent Form

Copy of Passport

Major