Bennington College, Academic Services
1 College Drive, Bennington, VT 05201
Application Form
Consortium on Forced Migration
Malaysia and Switzerland Summer Programs
This application form is to be used by applicants from Bennington College only. All students are
encouraged to apply and will receive consideration. Students with previous coursework in international
relations, migration, psychology, politics, and public action will receive priority.
Please return completed applications and supporting materials to:
Study Away Office
Bennington College
1 College Drive, Bennington, VT 05201
Tel. 802-753-2490
studyaway@bennington.edu f
Applications are due by 5:00PM on December 13th
Program of Interest (circle one)
: Malaysia Switzerland
__________________________________________________________________________
Last name First Middle Initial
Current Address: ____________________________________________________________
Telephone: ___________________________ E-mail: _____________________________
Gender: ____ Date of Birth: _____/____/____ Place of Birth: _________________
Are you a U.S. citizen? O Yes O No If no, country of citizenship: _____________________
Are you a permanent resident of the United States? O Yes O No
Do you have a valid passport? OYes ONo
If yes, please indicate the expiration date: ______________
**Note: Your passport must be valid for 6 months following the trip**
Areas of Study: ___________________________________________ Cum. GPA: _________
Are you in good academic and disciplinary standing? OYes ONo If no, please provide a
supplemental statement with explanation.
Letter of Recommendation
Please request a letter of recommendation from a Bennington faculty member be sent in a
sealed envelope to the Office of Study Away - Barn 120C.
International Experience:
List any international experience that you feel is relevant to your participation in this program,
including previous study abroad programs:
____________________________________________________________________________
____________________________________________________________________________
______________________________________________________________________
Language Abilities:
List any foreign languages studied, indicating your level of proficiency:
__________________________________________________________________________
__________________________________________________________________________
Statement of Purpose:
Please write a short statement of purpose (1 to 2 pages) discussing why you would like to
participate in this program. Describe how the program would complement your academic
experience, and enhance your educational and professional goals for the future. In addition,
please explain what prior experience, if any, you may have with the program’s topics and
themes and what you hope to accomplish by participating.
Financial Aid Statement:
Partial funding may be available to support highly qualified applicants. To be considered for
funding, please attach a copy of your Bennington financial aid award letter, a proposed budget
for the program which details your funding gap, and a short statement about how you would
share your experience abroad with the Bennington community on your return.
Passport and Visa Information
It is strongly recommended that you apply for your passport and visa (if applicable) immediately
upon your acceptance into the program, to ensure that you receive these documents before
your departure. Your passport should be valid for 6 months after the trip.
Bennington College does not discriminate on the basis of race, color, national origin, religion,
gender, sexual orientation, age, physical handicap, or marital status.
I verify that all of the information included in this application is accurate and true.
Signature: ____________________________________________ Date: _______________
Chrome Web Store
It looks like you haven't installed the Fill Chrome Extension Add to Chrome