Exchange Student Nomination Form

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Institution Information:

Choose your institution:

Information about the student:

First Name

Last Name

Birthdate:

Email Address

How long will the student study at UCM?

1 Semester

2 Semesters

When will the student begin studies at UCM?

Fall 2024 (August-December)

Spring 2025 (January-May)

Student's level of study

Graduate

Undergraduate

Select the student's major:

Select the degree the student will participate in:

Should the student be considered an Exchange or an Exchange Beyond Match?

Exchange (tuition exchange)

Exchange Beyond Match (tuition paying)

Please indicate the method by which the student's English language proficiency should be determined.

TOEFL, IELTS or other language proficiency test score (to be submitted with the student's application)

The student will enroll solely in UCM's English Language Institute language learning courses and will not enroll in regular academic coursework, unless deemed eligible during orientation testing.

As the representative from the student's host university, I verify that the student has an adequate level of English language proficiency for academic study in the U.S. (A representative from UCM will verify the student's level of proficiency via an interview during the week of orientation.)

The student is enrolled at an accredited institution where English is the primary language of instruction.

Your Information:

Your Name

Your email address

Exchange Student Nomination Form

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