Incoming Exchange Application - International Student Services Office

Exchange Period:*

Fall (September to December) – Application deadline: April 15
Full Year (September to April) – Application deadline: April 15

1. Student Information

Home Institution*

If your Home Institution is not a Carleton exchange partner, please apply through the Study Abroad program.

Country*

Name of Degree Program at Home Institution*

Level of Study*

Undergraduate
Graduate

Year*

of a

2. Personal Information

Name*

First Middle (if applicable) Family

Full Name as Appears on Passport*

Country of Citizenship*

Date of Birth*

(DD/MM/YYYY)

Gender*

Other Gender Identity

Permanent Address*

Street Address Street Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*

Telephone*

(including country and city codes)

3. Emergency Contact Information

Emergency Contact*

First Name Family Name

Relationship to you (e.g. parent, sibling, etc.)*

Address*

Street Address Street Address Line 2 City State / Province / Region ZIP / Postal Code Country

Telephone*

(including country and city codes)

Email*

4. Proof of English Language Proficiency

Please select one*

Test of English as a Foreign Language (TOEFL)
International English Language Testing System (IELTS)
Canadian Academic English Language (CAEL)
Pearson Test of English (PTE) Academic
English is my First Language
English is the Language of Primary Instruction at my Home Institution

Test Score*

Test Date*

(DD/MM/YYYY)

Please upload a Copy of Test Report or Confirmation/Recommendation Letter*

File must be pdf

5. Link to Portfolio and/or Audition (if applicable)

Architecture Courses: portfolio requirements
Industrial Design (IDES) Courses: portfolio requirements
Interactive Multimedia Design (IMD) Courses: portfolio requirements

Portfolio upload

6. Current Course Information:

Please list all the courses in which you are currently registered at your home institution. Please translate titles into English.*

Course Code	Course Name	Level (undergraduate or graduate)

7. Find Appropriate Carleton Courses

For guidance on how to read and understand a Carleton course code, please consult this page [This will open in a new tab]

You must then confirm you have read this information to input ten (10) courses in order of their priority.

Confirmation*

I have read and understood how to enter Carleton course codes and titles

#1 Course code*

E.g., PSYC 1001

#1 Course title*

E.g., Introduction to Psychology

#2 Course code*

#2 Course title*

#3 Course code*

#3 Course title*

#4 Course code*

#4 Course title*

#5 Course code*

#5 Course title*

#6 Course code*

#6 Course title*

#7 Course code*

#7 Course title*

#8 Course code*

#8 Course title*

#9 Course code*

#9 Course title*

#10 Course code*

#10 Course title*

Course Selection: Please list 8 to 10 courses for one term or 12 to 14 courses for two terms.*

Course Code (e.g. PSYC 1001)	Course Title (e.g. Introduction to Psychology I)	Pre-requisites Taken at Home Institution - Course Code*	Pre-requisites Taken at Home Institution - Course Title*

*Course number(s) and course title(s) taken at home institution that is/are similar to Carleton University’s required pre-requisites.

8. Supporting Documentation

Please upload the required supporting documentation listed below:

Official transcript from home institution translated into English and home institution Grading Scale (upload as one PDF document please, multiple forms will not be accepted)

File*

9. Arrangements for Students with Disabilities or Special Needs

If you have a disability or special needs that may require assistance at Carleton University, please provide a brief statement of assistance that you may need. The Exchange Program Coordinator will connect you with the appropriate person at the Paul Menton Centre for Students with Disabilities (PMC) and other student services (if needed) prior to your arrival on campus. In the meantime, please visit www.carleton.ca/pmc or contact the PMC at pmc@carleton.ca or phone +1 (613) 520-6608 for more information.

Please Note

It is the student’s responsibility to contact the PMC prior to their arrival to ensure that the PMC will be able to provide the support services the student needs.

Brief statement of assistance that you may need

Declaration

I hereby declare that the information provided on this Application is correct and complete. I understand that misrepresentation of this data may result in the cancellation of my exchange term at Carleton University.

Consent to Collection, Retention, and Disclosure of Information:

By submitting this Application, the Applicant hereby consents to the collection, retention, and disclosure of information regarding the Applicant in order to facilitate the exchange program contemplated by this Application. The Applicant also agrees that such collection, retention, and disclosure does not constitute breach of any rights of privacy held by the Applicant pursuant to the Freedom of Information and Protection of Privacy Act (FIPPA) or pursuant to the laws of the Applicant’s home country or otherwise.

Agreement*

I agree

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