Study Abroad & Exchange Student Application Form
Thank you for your interest in studying abroad! You have taken the first step towards expanding your international knowledge and experience. We look forward to helping your reach your goals. Please complete this form and someone from the ACT International Programs Office (IPO) will get in contact with you by email to set up an appointment.
Email address *
How to Apply
1. Complete this ACT Student Application Form.
2. Once your application has been received, we will arrange for an appointment for you at the IPO (NB, 104) to talk about the possibilities!
3. Once accepted, the IPO will nominate you for Study Abroad or Exchange with one of our partner schools.
4. The IPO will then help guide you through the application process for your selected destination.
Additional Information
• A GPA of 3.0 is required for many destinations. Students with a GPA under 3.0 will be considered on an individual basis.
• Additional application materials may be required by each particular host school
• Visas may be required for study abroad.
Full Name (Last, First) *
Your answer
ACT ID Number *
Your answer
Current Student Status *
Seeking *
When *
Destination Preferences (check all that apply)
Current GPA (Cumulative)
Your answer
Major and Concentrations *
Your answer
Name of Academic Advisor *
Your answer
Citizenship(s) *
Your answer
Permanent Address *
Your answer
Current Address *
Your answer
Local Telephone
Your answer
DOB (day, month, year) *
Your answer
Do you have any disabilities or health circumstances that will require special accommodations during your study-abroad? If yes, please explain briefly. *
Your answer
Names of 2 ACT faculty or staff that can provide references *
Your answer
Personal Statement: Please submit a personal statement describing the reasons for wanting to study abroad and what you hope to gain from this experience. *
Your answer
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