APPLICATION FOR ADMISSION FYP London College

Patti McGill Peterson Center for International and Intercultural Studies

FYP London Application

The following must be received by the Center for International and Intercultural Studies on or before April 8, 2013. Please respond to each question in as much detail as possible. If you have any questions or concerns, please feel free to contact us.

Admitted members of the St. Lawrence class of 2017, who will be at least eighteen years of age by August 26, are eligible to apply.*

Admission to the program is based on the quality of the application and the applicant’s previous academic record. Candidates for the FYP London College must also present evidence of maturity, responsibility and cultural sensitivity.

*Due to visa restrictions and program requirements; international students and HEOP students must spend their first semester on campus in Canton.

Student Information

First Name: *

Middle Name: *

Last Name: *

Nickname: *

Date of Birth: *

Place of Birth: *

Sex: *

Male

Female

Citizenship: *

Student Contact Info

Please provide current and accurate info.

Cell Phone: *

E-Mail: *

Street Address: *

City: *

State:

State: *

Zip Code: *

Home Telephone: *

Important note: if your contact information changes at any point between now and when you arrive on campus in August, it is very important that you send updated information to ciis@stlawu.edu.

Parent/Guardian Information

Address information only needs to be completed if it is different than that of the student.

Name of Parent or Guardian: *

Name of Parent or Guardian:

Street Address:

City:

State:

Telephone:

Passport Information

Valid:

Yes

Do you have a passport that is valid through March 30, 2013?

Passport Number:

Expiration Date:

Country of Issue:

Applied for Passport:

If you do not have a passport, you must apply for one immediately. Please write the date that you applied for your new passport.

Essay 1: *

Essay 2: *

Essay 3: *

Essay 4: *

Agreement and Release

By submitting this form I affirm that the information given in this application is true and correct to the best of my knowledge.

St. Lawrence University subscribes fully to all federal and state legislation and regulations (including the 1964 Civil Rights Act, Executive Order 11246, Title IX of the Educational Amendments of 1972, Section 504 of the Rehabilitation Act of 1973, and the IRA Anti-Bias regulation) and therefore encourages diversity regarding race, color, gender, religion, age, physical handicap, or national or ethnic origin in its programs and activities.

APPLICATION FOR ADMISSION FYP London College

Patti McGill Peterson Center for International and Intercultural Studies

Off Campus Study

Other Information