Hendrix Study Away Application (Due to the Office of International Programs by Monday, November 6, 2017)

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2018-2019 Hendrix Study Away Application (Due to the Office of International Programs by Monday, November 6, 2017) Name: Hendrix ID Number: Major/Minor: Academic Advisor: Current Class: Freshman Sophomore Junior Senior E-Mail: Telephone: ( ) Campus PO: of Birth: Cumulative GPA: Person completing faculty reference: Person completing general reference: Program Summer 2018 Fall 2018 Spring 2019 Check the appropriate box(es) Accademia dell Arte (Italy) Hendrix-in-Costa Rica Hendrix-in-Cyprus Hendrix-in-Bonn (Germany) Hendrix-in-Graz (Austria)* *Recommended for Spring Hendrix-in-Heilongjiang (China) Hendrix-in-London: Roehampton (UK) Hendrix-in-Madrid (Spain) Hendrix-in-Tours (France) Hendrix-in-Washington (DC) Hendrix-in-Zhuhai (China) Oxford Programme for Undergraduate Studies (UK) Oxford Honours Programme (UK) (Full Year Only, 3.7 GPA Required) Rwanda: Animals, People & Ecosystems International Student Exchange Programs (ISEP) Other: (please attach a paragraph explaining why this external program meets your study away needs and basic information such as a webpage on your program)

Please list the courses you plan to take (do not complete if only applying to a summer program): Term Courses Fall 2018 Hendrix or away Spring 2019 Hendrix or away Fall 2019 (Hendrix) Spring 2020 (Hendrix) I have or will meet the College s W1 requirement: Course Semester/Year Students must meet the Writing Level I (W1) requirement during the first or second year. (Hendrix Catalog Online, 2017-18) Student: Signature Academic Advisor: Signature

Essay Please submit your typed essay along with the rest of your application. Please explain what you feel has prepared you for undertaking the proposed program of study away, how you believe you would benefit from the experience, and how it would complement your degree program at Hendrix and, if applicable, your future career goals. Please be specific. The maximum length of this essay is one page, single-spaced, standard margins and font size.

Hendrix Faculty Member Recommendation Form This form should be delivered to SLTC 242, sent through campus mail, or mailed directly (Office of International Programs, Hendrix College, 1600 Washington Ave., Conway, AR 72032). Due date is Monday, November 6, 2017. I. To be completed by the applicant Name of Applicant Name of Study Away Program Semester(s) to be Away Name of Faculty Member Courses taken under this professor: I hereby waive my right to see this recommendation Applicant s Signature II. To be completed by a Hendrix professor Please evaluate the applicant in the areas described below. Criteria Poor Average Good Excellent Maturity (judgment, responsibility, selfreliance, emotional stability) Academic skills (research, study habits, verbal skills, learning ability) Initiative (self-motivation, enthusiasm, imagination) Adaptability (cultural sensitivity, flexibility, tolerance) Overall Recommendation Cannot Judge Please comment briefly on any aspects of the applicant's suitability for study away which you feel need further clarification. Recommender s Signature and

General Recommendation Form This form should be completed by another professor, or by someone else who can comment objectively and meaningfully on the applicant s intellectual and personal suitability for studying away. Once complete, this form should be delivered to SLTC 242, sent through campus mail, or mailed directly (Office of International Programs, Hendrix College, 1600 Washington Ave., Conway, AR 72032). Due date is Monday, November 6, 2017. I. To be completed by the applicant Name of Applicant Name of Study Away Program Name of Person Completing Recommendation Relationship to Applicant Semester(s) to be Away I hereby waive my right to see this recommendation Applicant s Signature II. To be completed by the recommender Please evaluate the applicant in the areas described below. Criteria Poor Average Good Excellent Maturity (judgment, responsibility, selfreliance, emotional stability) Academic skills (research, study habits, verbal skills, learning ability) Initiative (self-motivation, enthusiasm, imagination) Adaptability (cultural sensitivity, flexibility, tolerance) Overall Recommendation Cannot Judge Please comment briefly on any aspects of the applicant's suitability for study away which you feel need further clarification. Recommender s Signature and

Transcript Waiver Form Please return this form along with your application to the Office of International Programs. I,, request the Office of Academic Affairs to provide the Chair of International/Intercultural Studies Committee and the Director of International Programs with copies of my transcript as needed. I understand that one copy will be sent to the Director during my study-away period. Signature and Confidential Information Waiver Form I,, request that the Office of Student Affairs, the Dean of Students, and the Business Office provide, both to the Director of International Programs and to members of International/Intercultural Studies Committee, access to any relevant information in my personal file and student financial account. This permission is given with the understanding that all such information is completely confidential, is to be used only in order to make determinations of importance to the placing and support of the student studying away, and that the information is to be requested only when necessary. Signature and