Student Exchange Application

Eastern Oregon University
National Student Exchange (NSE)
International Student Exchange (INSE)

Exchange Students: In order to participate in an exchange program at Eastern Oregon University, you must be formally nominated by the national or international exchange coordinator at your home university; complete and submit this form and submit the required supporting documents outlined here: https://www.eou.edu/international/admissions/

Academic Information

Student Type

Campus

Main

Start Term and Year*

Academic Field of Study

List your home institution

How long do you intend to study at Eastern Oregon University? (Example: 1 academic term, 1 academic year)

Name

First Name (Given)* (must appear exactly as it appears on your passport)

Middle Name* (must appear exactly as it appears on your passport)

Last Name (Family)* (must appear exactly as it appears on your passport)

Preferred First

Other Last Names Used

Contact Information

Email Address

Current Phone Number (if international: include country code, city code, number)

Addresses

Current Mailing Address*
(This is the address where visa documents will be mailed)

Country

Street

City

Region

Postal Code

Permanent Address*

Country

Street

City

Region

Postal Code

Biographical Information

Birthdate*

Primary Citizenship*

Dual Citizenship

Sex

Emergency Contact Information

Please provide parent(s), legal guardian, relative or friend that can be reached in case of emergency.

Relationship of Emergency Contact*

Emergency Contact First Name*

Emergency Contact Last Name*

Emergency Contact Phone Number*
(if international: country code, city code, number)

Emergency Contact Address

Country

Street

City

Region

Postal Code

I certify the information on this application is correct and complete. I understand that whether or not I enroll, this application and all other submitted documents will not be returned to me.

Signature*

Submit your application

Application

Create new application with this round