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CUHK Accounting Exchange Application Form

The online application cannot be saved and must be completed in one sitting. Therefore, it is helpful to read the application directions before starting.

If you encounter problems with the online application, contact Sara Stratton.

SECTION 1: Personal & Emergency Contact Information

Please complete this section in full.
First Name	Middle Initial
Last Name
UI Student ID#
Resident Status	(Type Resident or Nonresident)
Current Address
Street
City
State	Zip
Phone
Address Valid Until:
Permanent Address
Street
City
State	Zip
Phone
Email Address
Date of Birth
Citizenship
Racial/Ethnic group (optional)	American/Alaskan Native Asian/Pacific Islander African/American Hispanic White, non-Hispanic (Caucasian)
Gender	Female Male
Passport Number	If you do not have a passport, please begin the application process immediately.
Person to contact in case of emergency
Name
Relationship to you
Street
City
State	Zip
Home Phone
Daytime Phone

SECTION 3: Previous Travel, Study, or Work Experience Abroad

Check this box if this section is not applicable to you and proceed to Section 4.

Please list any previous travel, study, or work experience abroad.

Year		Destination
Length of Stay/Travel
Purpose
Year		Destination
Length of Stay/Travel
Purpose
Year		Destination
Length of Stay/Travel
Purpose
Year		Destination
Length of Stay/Travel
Purpose

SECTION 4: Financial Aid

Are you planning to use federal financial aid toward program costs? Yes No

If yes, please check as appropriate below:

I have completed a financial aid application and am eligible for aid.
I am exploring my eligibility and plan to submit an application for aid by the relevant deadline.

SECTION 5: Study Abroad Conditions of Participation

You must read the Conditions of Participation (click to view document).

Check this box to affirm that you have read and accept all the conditions of participation as stated for the 2013 CUHK Accounting Exchange Program.

SECTION 6: RESUME

Please submit your most recent resume.

SECTION 7: PERSONAL STATEMENT

Please write a statement on the following question (not to exceed 500 words): "Why have you selected the CUHK Accounting Exchange Program over other study abroad alternatives and what do you hope to achieve from the experience?"

SECTION 8: Statement of Accuracy

Check this box if you confirm that you have personally completed all the information required in this online application for the 2013 CUHK Accounting Exchange Program and that to the best of your knowledge all of the information you have provided is true and accurate.

SECTION 9: Authorization of Application Fee

Check this box if you authorize the Office for Study Abroad to charge your next U-bill with the $50 application fee for the 2013 CUHK Accounting Exchange Program. Note: If you do not authorize this charge, your application will be deemed incomplete and will not be considered for this program.

Please complete this section in full.
Level	Freshman Sophomore Junior Senior
Major field(s)
Minor field(s)
University of Iowa GPA	Cumulative GPA
Academic Advisor
Department
Check each box where you will meet the stated course eligibility requirements by the end of Spring 2013 semester. One semester completed in the University of Iowa accounting major 3.00 UI and CUM G.P.A. If you have concerns that you do not or will not meet these requirements, please contact Kevin Den Adel, prior to submitting application.
Are you, or have you ever been, on academic probation? Yes No
Are you, or have you ever been, on nonacademic (disciplinary) probation? Yes No