Fillable Cape-Town 2017 Application Pasadena City College Study Abroad Cape Town 2017 Application

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Cape-Town 2017 Application Pasadena City College Study Abroad Cape Town 2017 Application

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Pasadena City College Study Abroad
Cape Town 2017 Application
INSTRUCTIONS: A very limited amount of space is available for this program. Apply now to
reserve your spot!
1. Fill-out the Personal Information Sheet
2. Compose a Personal Statement
3. Attach a copy of your unofficial or official college transcripts
4. Ask an instructor to compose and submit an Academic Recommendation
5. Submit your completed application to the English Division Office, room C-245.
Applications submitted in February & March will receive priority.
Application Check List:
________ Personal Information Sheet
________ Personal Statement
________ Transcripts
________ Academic Recommendation (*may be by submitted separately by instructor)
After your application is submitted we will immediately contact you to schedule a short
interview. Make sure to check your voicemail and inbox frequently as they will serve as primary
forms of communication. Once you are accepted into the program, you will be instructed to
create an online account with our partners, American Institute for Foreign Study (AIFS), and to
immediately pay a $450 enrollment deposit to reserve your spot.
If you have any questions, please feel free to contact Andrea Murray, Study Abroad
Coordinator, at apmurray@pasadena.edu or (626) 585-3365.
Applications submitted in February & March will be given priority.
Pasadena City College Study Abroad
Cape Town 2017
PERSONAL INFORMATION SHEET
Name (as it appears on your passport):
_____________________________ _____________________________ _____________________________
First Middle Last
______ Male ______ Female PCC ID: ________________________________________
(Leave blank if you are not currently a PCC student)
Home Address:
____________________________________________________________________________ __________
Address Number and Street Apt.
____________________________________________________ __________ ____________________
City State Zip Code
E-Mail Address (PLEASE print clearly and legibly)
________________________________________________________________________________________
Home Phone: (______) __________________________
Cell Phone: (______) ____________________________
Age ________ Date of Birth __________________ Citizen of ___________________________________
mm/dd/yy (Visas may be required for non-U.S. passport holders)
Emergency Contact while Abroad ____________________________________________________________
Emergency Phone (_____) ________________________
Address: _________________________________________________________________________________
_________________________________________________________________________________________
Emergency E-Mail Address: __________________________________________________________________
Relationship: __________________________
________________________________________________
Pasadena City College Study Abroad
Cape Town 2017
PERSONAL STATEMENT
I (student’s name) ___________________________________________________________
am applying for the Pasadena City College Study Abroad Program for Summer 2017 in Cape
Town, South Africa.
On a separate sheet of paper, please type a personal statement that addresses the following
points:
The program you are applying to.
What interests you about the program.
How you believe you would benefit from the program.
What you believe you might contribute to the program.
Your potential to complete 2 courses in a foreign setting.
Pasadena City College Study Abroad
Cape Town 2017
ACADEMIC RECOMMENDATION
(Student Name) ___________________________________________________ is applying for
the Pasadena City College Study Abroad Program for Summer 2017 in Cape Town, South Africa.
On your institutional letterhead, please compose a recommendation that addresses the
following points:
How long you have known the applicant and in what capacity.
Why you believe he/she would benefit from such a program.
What you believe he/she might contribute to such a program.
Applicant’s potential to carry an academic load in a foreign setting.
Name: _________________________________________________ Date: ________________
Title: _________________________________________________________________________
Email: ____________________________________________ Phone: _____________________
Institution: ____________________________________________________________________
Please send the recommendation to the English Division Office, room C-245, Pasadena City
College, 1570 East Colorado Blvd., Pasadena CA 91106; or email it to Andrea Murray at
apmurray@pasadena.edu
.
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Completed 27 November 2019

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