2017 EXCHANGE PROGRAM APPLICATION FORM

To be considered for the exchange program you must: • Be a current Vancouver Island University (VIU) student and have completed a minimum of 15 credit hours at VIU

before the application deadline.• Have achieved a minimum GPA of 3.0 or higher (on a scale of 4.33) in the past two full-time semesters.

(B average)* Some exceptions to this may be considered – talk to the Education Abroad Manager.

Participation in a VIU education abroad program is a privilege, not a right, and being accepted by VIU does not guarantee acceptance by the host institution.

Many exchange partners operate on a different academic year. Please make sure you understand the dates available for exchange placements.

If you transferred to VIU from another institution, talk to the Education Abroad Manager before applying for an exchange since there is a limit on the number of credits you can transfer into VIU for degree or diploma completion.

Application Deadlines: February 6, 2017 and October 6, 2017 . Late applications will be accepted if space is available in the program.

Acceptance will be based on your academic GPA, faculty recommendations, your application, and an interview.

Application Instructions

Applications will only be accepted via email.

Please complete the application form, print, sign and submit to educationabroad@viu.ca along with the required supporting documentation.

Supporting Documentation Please include the following supporting documents with your application form. 1. An unofficial transcript2. A standard work resume3. Your program timetable for your current semester of study (indicate on the timetable when

available for an interview)4. Completed application, which includes the names of 3 VIU faculty members who may be

contacted for a reference, and a completed budget form

Submit only this page with your application

Name: Student #:

Email: Program Major/ Minor: Phone #:

Program year at the start of your exchange: 2017

Starting the exchange in: Fall semester Spring semester

Length of exchange: 1 semester/term 2 semesters/terms

Please list in order of 1 - 3 your preferred exchange partner destination: COUNTRY EXCHANGE PARTNER

Australia University of Canberra Deakin University Victoria University

Barbados University of the West Indies China Zhejiang Ocean University England Bournemouth University

University of Hertfordshire France Burgundy School of Business

Germany Cologne Business School Frankfurt School of Finance & Management Munich School of Applied Sciences

Japan JF Oberlin University Korea Chung Ang University Scandinavia (N2n Exchange)

North2North Exchange Institution:______________________

Netherlands Hogeschool Utrecht NHTV Breda U. of Applied Sciences (tourism, hospitality)

Norway Nordland University Spain University of Huelva

** Before applying please make sure you are familiar with the semester dates and programs available at the schools you are selecting.

EXCHANGE PROGRAM FEE: This fee is charged for each semester that a student is on exchange and is equivalent to the cost of tuition at VIU for 5 courses plus student/activity fees. You will not be required to pay tuition or student fees to the host institution abroad. The fee is the same regardless of how many credits/courses you are able to take or transfer back to your program at VIU. In some cases, courses that you have had approved and signed up for at the host institution need may be unexpectedly cancelled by the host institution, or not available to you for some other reason. This is beyond the control of VIU and, in some cases, may delay your graduation.

Knowing this, are you still willing to go on the exchange? Yes No

2018

Questions: Type your answers to the following questions. If application printed off, please type your answers. 1. State briefly what you hope to accomplish during your exchange term and how you hope to incorporate the

experience into your future academic and career plans.

2. All participants have strengths and weaknesses relevant to their participation in the program. Outline yours.

3. Please describe any relevant information on your background (work, volunteer and travel) which you feel hasgiven you the skills to be a successful overseas.

Print a copy of this page for your files.

Budget Worksheet

Provide budget estimates for your first choice partner university. The purpose of this exercise is to have you consider the true cost of the exchange program you have selected so that you can determine whether you can afford to go. List all of your expenses and resources in Canadian dollars. Note: not all items will be required for all exchanges.

First choice partner institution _________________________ Length of exchange

Estimated Expenses Amount ($) Estimated Resources Amount ($)

Exchange Pgm fee _________ Personal contribution _________ Student Visa _________ BC loan/provincial assistance _________ Books & supplies _________ Scholarships/awards/bursaries _________ International transportation _________ I.E. Stipend (if eligible) * _________ Health/medical insurance _________ I.E. Exchange award $2200.00

Accommodation _________ Other: _________________ _________ Food _________ Local transportation _________ Entertainment _________ * (IE Stipend: www.viu.ca/studyabroad/stipend.asp)

Emergency _________ $750.00 for 1 semester, $1000.00 for 2 semestersOther: ______________ _________

Total Expenses $________ Total Resources $________

Faculty References

Provide the name and department of 3 VIU faculty members who can be contacted to provide a reference for you. You must have permission from these faculty members for the reference and must have explained to them the purpose of the reference – that is, that you will be going abroad on an exchange program, the length of the program and the country in which you plan to study.

Name Department

1.

2.

3.

The statements in this application are true and complete to the best of my knowledge.

Date: Signature:

Submit this page along with all other required documents. Please print, sign and submit this application via email to educationabroad@viu.ca

along with all supporting documentation. Only complete applications will be considered.

1. It is my responsibility to learn as much as possible about the risks of the venture, to weigh these risks againstthe advantages, and to decide whether or not to participate.

2. I certify that all statements made on this application form and the self-assessment form are true and correct. Iunderstand that misrepresentation of this information in any material way may result in my being withdrawnfrom the education abroad program. For those programs where I am paying program fees to VIU, I have readand agree to the cancellation and refund procedure.

3. I agree to abide by the rules and regulations of Vancouver Island University.4. The information on this form is collected under the authority of The University Act (RSBC 1996 Ch. 468). The

use of this information will be in compliance with the Freedom of Information and Protection of Privacy Act.Any questions concerning the collection and use of this information should be directed to the manager at theaddress above.