Study Abroad Period:*Fall term (September – December) - Application deadline: June 15Full Year (September – April) - Application deadline: June 15Winter term (January – April) - Application deadline: October 15(Select only one)1. Student InformationHome Institution*Please note: If you are applying from one of Carleton’s exchange partners, please apply through the Incoming Exchange Application. Country*Name of Degree Program*Current Level of Study at Home Institution*UndergraduateYear*12345of a1 year program2 year program3 year program4 year program5 year program2. Personal InformationName* First Middle (If applicable) Family Full Name as Appears on Passport*Country of Citizenship*Date of Birth* DD/MM/YYYYGender (Optional)MaleFemaleOther Gender IdentityOther Gender Identity (Optional)Permanent Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Email* Telephone*(including country and city codes)3. Emergency Contact InformationEmergency Contact* First Name Family Name Relationship to you (e.g. parent, sibling, etc.)*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Telephone*(including country and city codes)Email* 4. Proof of English Language Proficiency (Required if first language is not English)Please select one*TOEFLIELTSCAELNOT APPLICABLE**NOT APPLICABLE only applies to students whose first language is English.Test Score*Test Date* (DD/MM/YYYY)Please upload a copy*Accepted file types: pdf.5. Link to Portfolio and/or Audition (if applicable)The goal of your portfolio is to demonstrate your level and design aptitudes, for appropriate placement at Carleton University’s Azrieli School of Architecture and Urbanism. In your portfolio, please include examples of your studio work from all completed years of study at your home university and clearly identify the studio level of the projects shown (example: First Year, Second Year, Third Year). Also Include project titles and summaries of studio themes and goals.Portfolio uploadAccepted file types: pdf.Please submit your portfolio digitally in landscape format as a compressed PDF file. Paper portfolios are not required. Website I wish to include12345additional linksWebsite Website Website Website Website 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 CodeCourse NameLevel (undergraduate or graduate) 7 Find Appropriate Carleton CoursesFor 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*8. Supporting DocumentationPlease upload the required supporting documentation listed below: Official transcript from home institution translated into EnglishFile*Accepted file types: pdf.9. Arrangements for Students with Disabilities or Special NeedsIf 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 Study Abroad 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 needDeclaration I hereby declare that the information provided on this application is correct and complete, including my declaration of citizenship and immigration status. I understand that misrepresentation of this data may result in cancellation of my study abroad registration 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 study abroad 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 Zip Download Link Share: Twitter, Facebook Short URL: https://forms.carleton.ca/isso/?p=3