MTSU 2013-14 APPLICATION

FOR NORMANDY EXCHANGE PROGRAM

Name:_________________________________________________________________

Address:________________________________________________________________

Tel: _______________ Email: ______________

M#:_____________ GPA: _______

College: ____________________________ College Advisor: _______________________

Year in College: _________________ Major: ________________ Minor: ______________

French Language experience:

High school _________________________________________________________

College _____________________________________________________________

Other _______________________________________________________________

Experience overseas:

Where? _____________________________________________________________

When? ______________________________________________________________

How long? ___________________________________________________________

Career goals:__________________________________________________________

Names of 2 people who will write letters addressing your maturity and adaptability

____________________________________________________________________

I am applying for:

_____ Fall and Spring in Caen

_____ Fall semester only ______ Spring semester only

PLEASE NOTE: Each application must be accompanied by the payment of a deposit of $350. The deposit will be refunded upon the successful completion of the program, as determined by the results of exams the student takes in France and according to the required Learning Contract signed before leaving for France.

Signature: ______________________________________________ Date: ___________________

DEADLINE FOR APPLICATIONS and DEPOSITS: March 1, 2013