Global Education Office (GEO)

MSC06 3850
1 University of New Mexico
Albuquerque, NM 87131-1056
Phone (505) 277-4032 Fax (505) 277-1867
Email exchange@unm.edu
Web: www.unm.edu/oips/exchange.html








INTERNATIONAL STUDENT
EXCHANGE PROGRAM APPLICATION

PLEASE ATTACH A COPY OF THE BIOGRAPHICAL
PAGE OF YOUR PASSPORT



1. NAME:_____________________________________________________________________
LAST OR FAMILY / FIRST OR GIVEN / MIDDLE -AS IT APPEARS ON YOUR PASSPORT-

2. OTHER NAME (S):__________________________________________________________
AS THEY APPEAR ON EDUCATIONAL RECORDS

3. SEMESTER TO WHICH YOU ARE APPLYING:

FALL (AUGUST) ONLY______ OR SPRING (JANUARY) ONLY ______ OR
BOTH, SPRING AND FALL ________ OR BOTH, FALL AND SPRING ________

PROPOSED AREA/SUBJECT OF STUDY AT THE UNIVERSITY OF NEW MEXICO:

____________________________________________________________________________________________

Please check one: Upon my arrival at UNM
I am an UNDERGRADUATE student ___ I am a GRADUATE student ____

4. IMPORTANT: List ALL scholarships you have been awarded for your exchange
program (such as Fulbright, IIE, etc.) and attach a copy of the scholarship letter in your
application. If you know that your scholarship agency will do the visa paperwork,
please indicate below.

Name of Schoarship/s:________________________________________________________
Visa paperwork will be done by your scholarship agency: Yes: ________No: ________

4. DATE OF BIRTH: ___________________________/_______________/____________
MONTH (please spell out) / DAY / YEAR

5. GENDER: FEMALE MALE


6. PLACE OF BIRTH:___________________________________________________________
CITY AND COUNTRY

7. COUNTRY OF CITIZENSHIP: ________________________________________________

8. COUNTRY OF LEGAL PERMANENT RESIDENCE: _____________________________

9. ADDRESS: ________________________________________________________________
STREET/APARTMENT OR HOUSE NUMBER/CITY/ POSTAL CODE/COUNTRY

10. PHONE NUMBER: ________________________________________________________
COUNTRY CODE/AREA CODE/ PHONE NUMBER

11. EMAIL ADDRESS: _________________________________________________________

12. HAVE YOU PREVIOUSLY APPLIED TO THE UNIVERSITY OF NEW MEXICO
MAIN CAMPUS OR BRANCH CAMPUS?
YES NO IF YES, PLEASE INDICATE SEMESTER AND YEAR: _________________

13. HAVE YOU PREVIOUSLY ATTENDED THE UNIVERSITY OF NEW MEXICO
MAIN CAMPUS OR BRANCH CAMPUS?
YES NO IF YES, PLEASE INDICATE SEMESTER AND YEAR: _________________

14. YOUR CURRENT UNIVERSITY:

______________________________________________________________________________
Country Name of University


15. IF YOU ARE NOW A CANDIDATE FOR ANY TITLE, DEGREE OR DIPLOMA,
NAME AND NOTE THE DATE IS EXPECTED

NAME OF TITLE, DEGREE/DIPLOMA____________________________

DATE (mm/dd/yy) EXPECTED:____________

16. WHAT MONTH / YEAR DID YOU GRADUATE FROM HIGH SCHOOL?

_______ / ________
Month / Year

I CERTIFY THAT ALL INFORMATION GIVEN IN THIS APPLICATION IS COMPLETE AND
ACCURATE TO THE BEST OF MY KNOWLEDGE. IF I AM ACCEPTED AS AN EXCHANGE STUDENT
AT THE UNIVERSITY OF NEW MEXICO, I AGREE TO CONFORM AND ABIDE BY THE LETTER AND
SPIRIT OF ALL RULES, REGULATIONS, AND PROCEDURES OF THE UNIVERSITY.
MISREPRESENTATIONS IN ANY STATEMENT BY THE APPLICANT, OR FAILURE TO ABIDE BY
UNIVERSITY ACADEMIC REGULATIONS WILL BE CONSIDERED ADEQUATE GROUNDS FOR
DENYING ADMISSION, FOR CANCELLATION OF REGISTRATION, OR FOR SUSPENSION FROM
THE UNIVERSITY.
Applicants Signature: __________________________________________
Date Completed (mm/dd/yy): ____________________________________