Transnationalism, International migration, Race, Ethnocentrism and the State:
an Exchange and Advanced Training Project
Study Abroad Application

First Name          Middle Name
Last Name          Nickname

Home University

Student Identification Number   

E-Mail Address 

Phone     Fax Number (if any)


Current Address (address until time of departure)
Street City State

Postal Code Country


Permanent Address (e.g. address of parent, guardian, or spouse)

Name Relationship

Street City State

Postal Code Country Phone



TIRES partners will release your name, address and e-mail address to present or potential participants. Do you agree?                                     Yes      No

Degree program in which you are enrolled

Year of study in academic year 2002-2003

If applicable, area of specialization or major field of study

Citizenship    US citizen US resident Foreign national


I am applying to study in:

First Choice:      Amsterdam    Frankfurt-Oder   Liège Paris
Second Choice: Amsterdam Frankfurt-Oder Liège Paris
Third Choice: Amsterdam    Frankfurt-Oder Liège Paris
Fourth Choice: Amsterdam    Frankfurt-Oder Liège Paris


ACADEMIC BACKGROUND
List below all higher education institutions you have attended besides your current university.

Institution
Dates
Degree (if any)
Month: Year:
Month: Year:
Month: Year:


Language skills

Language
Reading / Writing
Speaking / Listening
Excellent Fair Poor Excellent Fair Poor
Excellent Fair Poor Excellent Fair Poor
Excellent Fair Poor Excellent Fair Poor


Language courses or equivalents you will have taken before beginning this program:

Title
Credits
Grade

-(Please attach a transcript of results to date) 


Other courses you will take/have taken (if any) that are related to the TIRES Program:
(Please attach a transcript of results to date)

Title
Credits
Grade

Have you traveled or studied abroad? If so, when and where?

Destination
When
How long?


Additional relevant experience:

Do you wish to apply for mobility grant language learning stipend
(US citizens or permanent residents only)

Please state in one or two paragraphs why you are applying to the TIRES Program, and what you wish to get from participating in the program?

 

REFERENCES

List the names and phone numbers of the two individuals whom you have asked for written personal recommendations.
(Academic) Name Phone
(Non-Academic) Name Phone
(non-academic referee should have known you for a minimum of two years, and not be a member of your family.)

SIGNATURE

I am aware that the selection process for the participation in the TIRES program during the academic year 2003-2004 includes an interview and adequate proficiency in the language of instruction, and that I am required to attend a pre-departure orientation program.

Students who receive mobility grants are expected to stay the entire academic year. If, for some reason, a student is not able to do so, a portion of mobility grant must be repaid. The schedule for repayment is as follows:

Attending less than 2 months: 75 % of the grant must be repaid
Attending 2 to 4 months: 50 % of the grant must be repaid
Attending 5 to 7 months: 25 % of the grant must be repaid

Students are expected to fulfill all the requirements of the courses in which they enroll abroad. Failure to do so means that they will receive a grade of "Fail" for the course, and no credit will be received. Given the natures of classes taken as part of a course of study abroad, it will not be possible for faculty or staff at the student's home university to change the grade.

If accepted into the TIRES program, I authorize the release of my application materials to the university to which I am applying to attend. I certify that all statements on this application and in the accompanying materials are complete and accurate to the best of my ability.


Signature ____________________________________________ Date ____________________


All TIRES partner institutions are committed to the policy that all persons shall have equal access to its programs, facilities, and employment without regard to sex, physical handicap, or cultural, racial, religious, or ethnic background or association.

  Please submit your application electronically        or print it out, sign and date it and either

   fax it to: 305 348-6562

   or mail it to:  Judith Rasoletti, Center for Transnational and Comparative Studies, DM368,
                       Florida International University, 11200 SW 8th St.,  Miami, Florida 33199, USA