Exchange & Sponsored Student Nomination Form

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Students will receive an email with a link to continue their application and submit required materials upon submission of this nomination form.

Exchange Partner Information:

Your Name (Exchange Representative):

Your Email Address (Exchange Representative):

Institution Information:

Choose your institution:

Student Information:

Student First Name:

Student Last Name:

Student Birthdate:

Student Email Address:

How long will the student study at UCM?

1 Semester

2 Semesters

When will the student begin studies at UCM?

Spring 2026 (January-May)

Fall 2026 (August-December)

Student's level of study

English Proficiency Only

Graduate

Undergraduate

Select the student's degree program:

How will payment be handled for this student?

1:1 Exchange (UCM tuition waived, student pays all fees)

Student Direct Pay (50% off non-resident tuition, student pays)

Sponsor Direct Pay (50% off non-resident tuition, sponsor pays)

Enter the student’s English test score next to the test taken. If no score is available, please leave blank.

English Proficiency Score Test:

English Proficiency Score Received:

Please select from the following:

The student will submit a photocopy of their English test score with the application.

The student will enroll in UCM's Intensive English Program (IEP) with the English Language Institute and will not enroll in regular academic coursework unless deemed eligible during orientation testing.

As the exchange partner representative, 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 during the week of orientation.

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

Exchange & Sponsored Student Nomination Form

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