Strasbourg Exchange Programme

STRASBOURG EXCHANGE PROGRAMME

APPLICATION FORM (2018-2019)

Please note that you also need to fill out the study-abroad application form provided by the International Centre.

I. PERSONAL INFORMATION

Name
Email
Student number
Campus Mailing Address / Box #
Permanent Mailing Address
Telephone number (Sackville)
Parent/Guardian
Address of Parent/Guardian
Parent/Guardian Telephone
In 2018-2019, I will be in my _____ year of university study.

II. BACKGROUND IN FRENCH

High school (to what grade?)
Immersion or core programme
University / Which courses have you successfully completed?
Please list them below.
Which courses are you taking this year?
Please list them below.
Other (summer courses, French school, etc.)
Degree programme (e.g. B.A., B.Sc., etc.)
Major
Minor

How will credits granted through the Strasbourg Programme be included in your degree requirements (e.g. electives, part of requirements for a Major, part of requirements for a Minor, part of requirements for Honours, etc.)? The majority of the credits awarded are in French language, literature, and culture, generally at the 3000 level, depending on placement.

Careful advance planning is very important in order to ensure degree requirements are met.

III. COMPLEMENTARY INFORMATION

Date of birth:______

month / day / year

Place of birth:______, ______, ______

town/cityprovince/state country

Citizenship:______

If you have dual citizenship, indicate the country whose passport you will use for your flight to and from Strasbourg. ______

IV. HOUSING IN STRASBOURG

It is most probable that all housing arranged by Mount Allison University will be in university residences. Apartments are more difficult to locate in advance and for a period of less than a year.

Please note that you will pay the standard returning student deposit and the residence deposit, which is required to ensure a place in residence in Strasbourg. Because of the planning process, due dates for the payment of deposits will be somewhat earlier than those for on-campus students. These deposits are non-refundable.

V. FEES

Fees are payable as follows:

Non-refundable deposit of $500 (residence) and $100 (registration fee) are due on June 1st, 2018.

Residence fees are paid in full by August 15, 2018.

Tuition fees may either be paid in full by August 15, 2018 or paid in two installments (August 15, 2018; December 15, 2018).

In all cases, after tuition and residence fees are remitted to Strasbourg, no refunds or waivers of unpaid fees will be allowed.

VI. Explain why you are interested in studying in Strasbourg (250 words).

VII. PROCEDURE

An interview is part of the application process and will be scheduled as soon as possible after the application is received by the Director.

ON OR BEFORE JANUARY 15, 2018 PLEASE RETURN THE FOLLOWING TO THE DEPARTMENT OF MODERN LANGUAGES AND LITERATURES OFFICE IN CRABTREE 310 OR EMAIL IT TO DR. CHRISTINA IONESCU ().

For information, contact Dr. Christina Ionescu (; office: Crabtree 323).

I, ______(print your name) have read and understood the above information.

SIGNATURE: ______

OR E-SIGNATURE: ______