Sæt kryds ved det semester, du ønsker at søge ind på. Husk at angive årstal samtidig. Sæt kryds ved Transfer

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1 Vejledning til udfyldelse af ansøgningsskema University of Hartford Study Abroad Side 1 STUDENT INFORMATION Sæt kryds ved det semester, du ønsker at søge ind på. Husk at angive årstal samtidig. Sæt kryds ved Transfer Angiv også, hvorvidt du ønsker at bo on campus eller off-campus. Obs: hvis du ønsker at bo on-campus, bør du tage kontakt til Sam Skinner, når du er blevet optaget. Sam Skinner kan kontaktes på: samskinner603@gmail.com Side 1 PERSONAL INFORMATION Skriv dit fulde navn: efternavn, fornavn, mellemnavn. Sæt kryds ved dit køn. Side 1 CONTACT INFORMATION Ved current mailing address skal du skrive den adresse du pt. benytter dig af. Husk at angive, hvor lang tid du bliver boende der til. Ved permanent home address skal du skrive din faste bopæl (oftest vil det være den samme som din current mailing address). Side 2 EDUCATIONAL PLANS AND OBJECTIVES Angiv hvilket fakultet ( College eller School ) du ønsker at læse fag på. Du behøver ikke skrive et major. Side 2 CITIZENSHIP INFORMATION Skriv, hvilket land du er statsborger i. Skriv, hvilket land du blev født i. Angiv, hvad dit modersmål er. Side 2 VISA INFORMATION Her skal der stå F-1 Visa (Student). Andet skal ikke udfyldes. vejledning@edu-danmark.dk 15 Senest opdateret 20-Mar-

2 Side 2 FAMILY INFORMATION Skriv din fars og mors kontaktoplysninger. Side 3 Side 3 Side 3 EDUCATION BACKGROUND Her skal du angive din uddannelsesbaggrund fra gymnasiet og fremefter, også den uddannelse du på nuværende tidspunkt går på. TRANSFER APPLICANTS / UNIVERSITY / COLLEGE LEVEL STUDY Dette punkt skal ikke udfyldes. TEST INFORMATION Dette punkt skal ikke udfyldes. Side 4 APPLICANT SIGNATURE Skriv under og skriv dato. Angv desuden, hvordan du hørte om University of Hartford. Når du søger om Study Abroad på University of Hartford, skal du sende det udfyldte ansøgningsskema og følgende dokumenter til EDU: En udfyldt og underskrevet ansøgningserklæring Karakterudskrift på engelsk fra din nuværende uddannelse (original eller verificeret kopi, på engelsk) Bachelorbevis på engelsk, hvis du allerede har afsluttet en bacheloruddannelse (original eller verificeret kopi, på engelsk) Dokumentation fra din bank på, at du kan dække omkostningerne ved dit ophold: - Et brev fra din bank, hvor der står, at de vurderer, at du har mindst 20,000 US Dollars til rådighed pr. semester. En liste med dine fagønsker (gerne 6-8 fag) Fagbeskrivelser (på engelsk) over de fag, der fremgår at din karakterudskrift. Kopi af pas (kun billedsiden) Alle dokumenter (som ikke er lavet af dig selv) skal være stemplet og underskrevet af udstederen af dokumentet. Originalerne skal sendes til EDU sammen med dit ansøgningsskema. Du får dine originale dokumenter tilbage sammen med en bekræftelse på, at du har søgt optagelse på University of Hartford. Ansøgningen sendes til: EDU Nikolaj Plads 26, 2. sal 1067 København K Ved spørgsmål kan du kontakte os på vejledning@edu-danmark.dk vejledning@edu-danmark.dk 15 Senest opdateret 20-Mar-

3 International Student Application Visiting / Exchange Programs Note: if you are a US Permanent Resident, please complete the US application and submit a copy of your Green Card ID. Student Information (Please type or print legibly) When do you plan to begin? Fall (late August) Spring (January) Year 20 Will you be entering the University as a: Freshman (First Year) *Transfer (Previous College/University study) *If you have completed any subjects or courses beyond High/Secondary School you are ethically bound to present this document. Living / where would you like to live: In University Housing Off-Campus in an apartment/home Personal Information Full Name * Last (Family) First (Given) Middle * (Name must match your passport / Enclose copy of your passport biographical page) Sex: Male Female List other names that appear on your credentials: Contact Information Current Mailing Address: Permanent Home Address Valid until / / House Number and Street House number and Street City City Country Mail Code Country Mail Code Mobile Tel: Country Code City Code Number Mobile Tel: Country Code City Code Number Your Parent Print in bold letters/numbers Print in bold letters/numbers 1

4 Educational Plans and Objectives Please indicate with a 1 or 2 your first and second choices of the Colleges and Schools where you wish to earn your degree: College of Arts and Sciences (Liberal Arts) College of Education, & Health Professions Hartford Art School (Fine Arts) The Hartt School (Music Theatre & Dance) College of Engineering, Technology & Architecture Hillyer College (Liberal Arts / 2 year AA) The Barney School of Business List the Major you wish to pursue, if known: Citizenship Information Please confirm your status: Non-Citizen / Will apply for a visa Non- Citizen / on a visa in the US Non- Citizen / *US Visa expired Non- Citizen / Applied for US residency US Citizen / Permanent Resident *If you are not a permanent resident, have you applied for permanent resident status? Yes No Date of Birth / / Day Month Year Country of Birth City of Birth: Country of Citizenship Visa Information Will you need the F-1Student Visa? Yes No If you are already in the United States indicate what type of visa you hold: Student (F) Exchange Visitor (J) Government Official Other: Family information Father s Name: Mother s Name: Last First Middle Last First Middle Mobile Phone: Mobile Phone: 2

5 Educational Background Please list all high schools (secondary), colleges & universities where you have or will take classes while in high school. Failure to do so may result in loss of credit or dismissal Name of Institutions City / Country Dates of Attendance From -to 1. Language of Instruction Diplomas Certificates Year of Graduation Transfer Applicants / University / College level study List all other universities previously attended or currently attending. Please include any study at the University of Hartford. To ensure transfer credit, all final official transcripts must be accompanied by course descriptions/course syllabi. This information must be presented in English. University Date of Attendance Number of Subjects Completed Grade Point Average to Date Language of Instruction City / Country Test Information Proof of English Proficiency is required of all candidates whose native language is not English (including US citizens or US Permanent Residents). TOEFL: Listening (0-30) Reading (0-30) Speaking (0-30) Writing (0-30) Total Score IELTS: Total Band Score: SAT Writing Critical Reading Math Total *The SAT is not required for admission but can serve to strengthen your application, prove English proficiency and help qualify you for potential scholarship. 3

6 Other Test Results: Name of Test/Examination Results Year Taken 1) 2) 3) Applicant Signature I certify that all information provided on this application is complete, factually accurate, and honestly presented. I further understand that my admission and subsequent registration may be cancelled if any information is found to be false or intentionally omitted. If I enroll at the University of Hartford, I agree to familiarize myself with all rules and regulations of the University and abide by them. Student Applicant s Signature Date: How did you learn about the University of Hartford? Agency: Education USA Advisor: Graduate of the University of Hartford: Hotcourses.com Internet / URL: Meeting Hartford representative at School/ University Fair: Relative: Testden.com Other: Application Checklist Have you enclosed? Academic records (Secondary High School & University) Proof of Financial support / Bank Statement (Tuition, Room & Meals plus Academic Expenses) English testing results or the date you requested your results: TOEFL Requested IELTS Requested date date *For current year fee information please visit admission.hartford.edu/intl/pdf/2014_intl_cost.pdf Thank you for completing your application for admission. To confirm receipt of your application, please call or send to intlinfo@hartford.edu. 4