Fillable Exchange Nomination Form (Quest University)

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Exchange Nomination Form (Quest University)

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The Exchange Nomination Form (Quest University) form is 1 page long and contains:

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Country of origin: CANADA
File type: PDF

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Exchange Nomination Form
Quest&University&Canada&•&Exchange&Coordinator&•&3200&University&Boulevard&•&Squamish,&BC&•&V8B&0N8&•&Canada&
Phone:&(604)&898J8104&•&Fax:&(604)&815J0829&•&Email:&exchange.program@questu.ca&•&Web:&www.questu.ca&
&
&
!"#$%&'()*&+%#,'-.%&)
First&Name&
&
Middle&Name&
Last&Name&
Exchange&Term/Dates&
Primary&Language&
Email&Address&
)
&
&
)
/-'-","&-)%+)*&-"#"$-)
Please&write&a&short&statement&of&interest,&answering&the&following&questions,&and&attach&to&your&application:&
1.&Why&are&you&interested&in&studying&at&Quest?&
2.&What&previous&exposure&or&experience&(if&any)&have&you&had&to&Canada&and/or&British&Columbia?&
3.&What&do&you&hope&to&gain&or&learn&from&the&experience&of&studying&at&Quest?&
)
0&.1"#$.-2)3#'&$4#.5-)
Please&scan&and&include&a&copy&of&your&most&recent&university&transcript.&Transcripts&in&languages&other&than&English&should&be&
sent&along&with&an&English&translation&prepared&by&your&school&or&a&certified&translator.&
)
)
6&7(.$8)9'&7:'7");"<:.#","&-$)
NO&
&
&
&
If&not,&please&include&a n y&T O E F L /IE L TS &r es u lts,&a n d/ o r&a n y&o th e r&d o cu ments&showing&tha t&yo u &meet&the&English&Req uir ements.&
)
=55(.4'&-)=++.>'1.-)
I"certify"that"the"information"I"have"provid e d"o n "th is "a p plic a tio n "is"c o mplete"and"correct"to "th e "be s t"o f"my"knowledge,"and "that"I"have"attended"
no"institutions"other"than"those"listed."I"understand"that"it"is"my"responsibility"to"forward"to"Quest"University"Canada"all"official"school"records"
and"other"application"materials"and"that"these"documents"become"the"property"of"Quest"University"Canada"and"shall"not"be"returned"to"me"or"
duplicated"for"any"reason."I"also"understand"that"my"admission"to"Quest"University"Canada"is"subject"to"verification"of"all"official"records"and"
that"my"admission"may"be "rescind ed"sh ou ld"sa id"record s"be "m ateria lly"different"fro m "oth er"doc um e ntatio n"on "file."
Date&(dd/mm/yyyy)&
Signature&
&
?%,.&'-.%&)*&+%#,'-.%&)@-%)A")4%,5("-">)A2)2%:#)6B48'&7")C%%#>.&'-%#D)
Home&Institution&
Exchange&Coordinator&Name&
Email&Address&
Attended&from&(mm/yyyy)&
Anticipated&Graduation&Date&(mm/yyyy)&
On"behalf"of"the"institution,"I"nominate"this"student"for"an"exchange"as"per"the"Memorandum"of"Understanding"between"our"two""
institutions,"and"verify "th at "th e"s tu de n t"m e et s"a ll"of "th e"c riteria "re qu ire d "fo r"an "e xc ha n g e.""
Official&Seal&/&Signature&of&Home&Institution:&
)
&
)
/:A,.$$.%&)'&>)E"'>(.&"$)
This&form,&and&supporting&documents&can&be&scanned&and&sent&by&the&Exchange&Coordinator&to:&
Will&Prescott,&Quest&University&Canada&
Email:&exchange.program@questu.ca&&/&&Fax:&604.815.0829&
&
Deadlines:&We&will&c o n sid e r&a ll&a p p lic at io n s ,&as &s p ac e &p e rmits.&Mee tin g &th e &following&d e a d lin e s&will&increase &y o u r&
chance&of&securing&a&space:&Fall&Term:&April&1&/&Spring&Term:&October&1&/&Summer&Term:&February&15.&You&will&be&
notified&by&email&if&your&application&is&accepted.&&
&
Accessibility:&Quest&provides&reasonable&accommodatio ns&an d &sup p orts&fo r&stud en ts&with &disa bilities.&H ow ev er,&we &
are&a&small&institution&and,&as&such,&there&are&limitations&to&our&resources.&If&you&are&a&studen t&w h o &ex p erie n ces &
disability&or&other&special&needs,&we&encourage&you&to&speak&to&the&Exchange&Coordinator&in&advance&of&the&
application&process&in&order&to&determine&if&Quest&is&a&good&fit&for&you.&
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Exchange Nomination Form (Quest University)

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Completed 30 January 2021

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