INTERNATIONAL STUDENT EXCHANGE APPLICATION by 2yrZJ3

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									 OFFICE OF INTERNATIONAL
                                                  INTERNATIONAL STUDENT EXCHANGE
 PROGRAMS AND STUDIES (OIPS)                           PROGRAM APPLICATION
 MSC06 3850
 1 University of New Mexico
 Albuquerque, NM 87131-1056                     PLEASE ATTACH A COPY OF THE BIOGRAPHICAL PAGE
 Phone (505) 277-4032  Fax (505) 277-1867                    OF YOUR PASSPORT
 Email oips@unm.edu
 Web: www.unm.edu/oips



1. NAME:_____________________________________________________________________
                    LAST OR FAMILY / FIRST OR GIVEN / MIDDLE   -AS IT APPEARS ON YOUR PASSPORT-

2. OTHER NAME (S): __________________________________________________________
                                             AS THEY APPEAR ON EDUCATIONAL RECORDS


SEMESTER TO WHICH YOU ARE APPLYING:

FALL (AUGUST) ONLY______                     OR            SPRING (JANUARY) ONLY ______      OR

BOTH, SPRING AND FALL ________               OR            BOTH, FALL AND SPRING ________

Please check one: Upon my arrival at UNM,…..
…I am an UNDERGRADUATE student ___ I am a GRADUATE student ____

IMPORTANT:
List ALL scholarships you have been awarded for your exchange program
(such as Fulbright, IIE, etc.) and attach a copy of the scholarship letter in your
application.

___________________________________________________________________________

___________________________________________________________________________

3. DATE OF BIRTH: ___________________________/_______________/____________
                   MONTH (please spell out) /    DAY        / YEAR

4. GENDER:           FEMALE              MALE


5. PLACE OF BIRTH:___________________________________________________________
                                                           CITY AND COUNTRY


6. COUNTRY OF CITIZENSHIP: ________________________________________________

7. COUNTRY OF LEGAL PERMANENT RESIDENCE: _____________________________
8. ADDRESS: _________________________________________________________________
                      STREET/APARTMENT OR HOUSE NUMBER/CITY/ POSTAL CODE/COUNTRY


9. PHONE NUMBER: ________________________________________________________
                              COUNTRY CODE/AREA CODE/ PHONE NUMBER


11. EMAIL ADDRESS: _________________________________________________________

14. HAVE YOU PREVIOUSLY APPLIED TO THE UNIVERSITY OF NEW MEXICO
MAIN CAMPUS OR BRANCH CAMPUS?
    YES        NO           IF YES, PLEASE INDICATE SEMESTER AND YEAR: _________________

15. HAVE YOU PREVIOUSLY ATTENDED THE UNIVERSITY OF NEW MEXICO
MAIN CAMPUS OR BRANCH CAMPUS?
    YES        NO           IF YES, PLEASE INDICATE SEMESTER AND YEAR: _________________

16. YOUR CURRENT UNIVERSITY:

______________________________________________________________________________
        Country                              Name of University


17. IF YOU ARE NOW A CANDIDATE FOR ANY TITLE, DEGREE OR DIPLOMA,
NAME AND NOTE THE DATE IS EXPECTED


NAME OF TITLE, DEGREE/DIPLOMA____________________________

DATE (mm/dd/yy) EXPECTED:____________




I CERTIFY THAT ALL INFORMATION GIVEN IN THIS APPLICATION IS COMPLETE AND
ACCURATE TO THE BEST OF MY KNOWLEDGE. IF I AM ACCEPTED AS AN EXCHANGE STUDENT
AT THE UNIVERSITY OF NEW MEXICO, I AGREE TO CONFORM AND ABIDE BY THE LETTER AND
SPIRIT OF ALL RULES, REGULATIONS, AND PROCEDURES OF THE UNIVERSITY.
MISREPRESENTATIONS IN ANY STATEMENT BY THE APPLICANT, OR FAILURE TO ABIDE BY
UNIVERSITY ACADEMIC REGULATIONS WILL BE CONSIDERED ADEQUATE GROUNDS FOR
DENYING ADMISSION, FOR CANCELLATION OF REGISTRATION, OR FOR SUSPENSION FROM
THE UNIVERSITY.




Applicant’s Signature: __________________________________________



Date Completed (mm/dd/yy): _________________

								
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