Korea University of Seoul Exchange
906 W. Warren • 131 Manoogian • Detroit, MI 48201 • Phone: (313) 577-3207 • Fax: (313) 577-7687 Semester: Fall Winter Full Year Program Application Academic Year: ______To apply to this program, please fill out this application, attach an unofficial transcript and submit it with a $50 application fee made payable via “Pay Fees” tab on studyabroad.wayne.edu. Exchange Program
Applicant Information: Mr. Preferred First Name/Nickname Last Name Full Legal Name (as on passport) Ms.
Current Address
City State/Province Postal Code E-mail *All correspondence and acceptance from our office will be via e-mail. Please list one you check regularly.
Phone Alt. Phone Country of Citizenship ** Korea
**Please note: If you are not a US Citizen, it is your responsibility to obtain a visa to enter the country you will be visiting. Not all programs require a visa so check online or with an advisor if you are uncertain. Are you currently a WSU student? Status during program: Current GPA: Yes, my WSU PID # is: Freshman Post Bachelor Are you in the No, I have never attended the university. Sophomore Masters Honors Program? Y N No, my last class was in (MM/YYYY). Junior Doctoral No, my current institution is: Senior Other Professional Are you a DCE Student? Y N Race/Ethnicity *For statistical purposes only; does not affect program eligibility. If you are multi-racial, please choose Date of Birth Gender the one you identify with most. (MM/DD/YYYY) Hispanic Asian or Pacific Islander (API) White (Non-Hispanic) M F American Indian, Eskimo or Aleut(AIEA) Black (Non-Hispanic)
Emergency Contact: Please list who should be notified in case of emergency Name Relationship to you
Current Address
City State/Province Postal Code
Home Phone Work Phone Cell Phone Fax (optional)
References:Please list the names, telephone numbers, and e-mail addresses of two references who may be contacted regarding your application Name Phone E-mail
Name Phone E-mail Korea: University of Seoul Exchange How did you learn about this study abroad program? Faculty Member Study Abroad Office Class Study Abroad Fair Former Participant Other
Have you traveled abroad for longer than a week? Y N If yes, where?
Please describe your experience. Exchange Program Acceptance Letter
I understand that I will be notified of my acceptance by an official letter sent via e-mail from the Study Abroad and Global Programs Office that will be sent to the current address I provided. I also understand my acceptance letter will include a Decision Form that I must return within two weeks from the date of my acceptance letter or I will be withdrawn from the program. 08
Signature: ______Date: ______
Parent/Guardian Signature: ______(if applicant is under 18 years old) France
Release of Student Information Korea During the course of a student’s participation in a study abroad program, the Office of Study Abroad and Global Programs may wish to provide relevant information from the student’s educational records to the student’s parents or other third parties. Depending on circumstances, information to be released might include student account information, information about the program in which the student is enrolled, or non-emergency information related to the student health or safety.
Please sign below to indicate that you have read this form and authorize the Office of Study Abroad and Global Programs to provide relevant information from your educational records to your parents and any relevant third parties:
Signature: ______Date: ______
Parent/Guardian Signature: ______(if applicant is under 18 years old)
(if this section is not signed, no student information other than “directory information” will be released to family members, etc. except in an emergency)
For Office Use Only
Date Received: Special Endorsements: Non-Matriculation Form International Undergrad Admission Application Date Entered: Undergrad Admission Application for Canadians
Entered By: Number of Credits Number of Credits
WSU Course WSU Course Wayne State University Wayne University of Seoul Exchange Program Exchange of Seoul University DEPARTMENTAL APPROVAL FORM APPROVAL DEPARTMENTAL Please indicate with your signature that the above named student has informed your signature that the above named Please indicate with
Seoul Course Semester 2 1. 2. 3. 4. 5. 6. 1. 2. 3. 4. 5. 6. Seoul Course Semester 1 If student is staying for two semesters, the student can take the following courses during the second semester: the student can take the following courses during the second semester: If student is staying for two semesters, To the Major Advisor/Chair: To your department of his/her intention to apply for the WSU–University of Seoul exchange and that he/she has WSU–University of Seoul exchange of his/her intention to apply for the your department to make satisfactory must cover while Seoul in order appropriate person the courses he/she discussed with the fill out a plan of work WSU. It is expected that students will the completion of his/her major at progress towards is available. open to WSU exchange students A listing of Seoul courses with their major department. Name: ______Signature: ______Position: ______Date: ______Department: ______Comments: The student is allowed to take the following courses offered at the University of Seoul. Student will following courses offered at the University of Seoul. Student will The student is allowed to take the below: register for 4 of the 5 courses listed Student Name: ______WSU PID: ______WSU Name: ______Student Departmental Approval Form
Detroit, MI 48201 131 Manoogian Hall 906 West Warren Ave Warren 906 West
U 1 2 3 4 3 2 1 4 U 3 2 1 4 U 3 2 1 4 U 3 2 1 4 U 3 2 1 4 U 3 2 1 4 U 3 2 1 4 U 3 2 1 4 U 3 2 1 U University of Seoul Exchange Program Exchange of Seoul University Study Abroad and Global Programs Study Abroad CONFIDENTIAL EVALUATION FORM EVALUATION CONFIDENTIAL Wayne State University-Shanghai University University-Shanghai State Wayne the release above, the confidentiality of your comments will be strictly maintained. the release above, the confidentiality signed I waive, relinquish and disclaim all my rights to have access to the Letter I waive, relinquish and disclaim all my above. of Recommendation/Evaluation described Academic ability Adaptability Ability to communicate Ability to cooperate Emotional stability Intellectual curiosity Dedication & seriousness Self-reliance & independence Ability to deal with stress using the following scale: (U=Unkown; 1=Poor; 2=Fair; 3=Good; 4=Excellent). 1. How long have you known the applicant? ______1. How long have you known the applicant? the applicant? ______2. In what context have you known ranking for each trait 3. Please rank the applicant on the traits below; choose the most appropriate If the student has Signature of Applicant: ______Date: ______Signature of Applicant: ______To the Evaluator: To Sydney Institute of Language and University, State University-Shanghai The student above has applied to the Wayne this student may help in our frank appraisal of Exchange Program and is seeking your recommendation. Your Commerce would be beneficial to the student and to our program. attempt to determine whether his/her acceptance Applicant’s Name (print): ______Applicant’s Name: ______Recommender’s To the Student: To your academic work. or advisor who is acquainted with and the name of an instructor Please fill in your name response directly to: or her use in sending the completed a pre-addressed envelope for his Deliver this form with You may voluntarily waive your right to have acces to a specific Letter or Recommendation/Evaluation written may voluntarily waive your right to have acces to a specific You dating Family Education Rights and Privacy Act of 1974 by signing and about you in accordance with the Federal this certificate: Confidential Evaluation Form __ Street Address City State Zip State City Address Street
Do Not Recommend Recommend Recommend with Reservation Strongly Recommend 7. Considering your overall evaluation of this applicant, what is your recommendation with regard to 7. Considering your overall evaluation in this program? her/his acceptance for participation 5. What characteristic of the applicant might be a liability? of the applicant might be a liability? 5. What characteristic 4. What is the applicant’s strongest attribute? attribute? strongest applicant’s is the 4. What Preferred Telephone Number: ______E-Mail Address: ______Number: ______Preferred Telephone Signature: ______Date: ______Signature: ______Date: ______Name (Printed): ______complete the following contract If you are available to be contacted regarding this recommendation, please information: E-Mail Preferred method of communication: Mail Telephone Mailing Address: ______6. Please indicate your opinion of this individual and of his/her chances of success in the Shanghai Univer- of his/her chances of success in the your opinion of this individual and 6. Please indicate sity Exchange Program. Confidential Evaluation Form PERSONAL STATEMENT PERSONAL University of Seoul Exchange Program Exchange Seoul of University Your statement must be submitted on this form. statement must Your a brief (approximately 250 words) statement about why you are interested in studying at the University why you are interested in studying 250 words) statement about a brief (approximately type This personal statement should be completed, signed and submitted with your other supporting materials. A other supporting with your signed and submitted be completed, statement should This personal securing their approval. advisor before to your academic should be given of this statement signed copy Please of Seoul what types of courses you would be most interested in taking, and what benefit you hope to take away in taking, and what benefit of courses you would be most interested of Seoul what types abroad. form your education Name: ______Signature: ______Date: ______Name: ______Signature: ______Personal Statement