International Exchange Program Application

This application is for students coming to Heidelberg University in the USA from our exchange programs with:

Universität Heidelberg, Germany
Miyagi Gakuin, Japan
Business Academy Aarhus, Denmark
Hanze University of Applied Sciences, the Netherlands
Heilongjiang International University, China
Tianjin Normal University, China
University of Ulsan, South Korea

Admission decisions are made approximately within two weeks of receipt of the requested documents.

Personal Information

First Name (Given Name)

Middle Name

Family Name (Surname)

Preferred First Name

Sex Assigned at Birth

Country of Citizenship

City of Birth

Country of Birth

Date of Birth

Marital/Family Status

Marital Status

If you come to this country, will any other member(s) of your family come with you?

Yes

Please list their names and relationship to you

Contact Information

Preferred Telephone

Cell

Home

When entering your phone number, please begin your number with "+country code". For example, students from Germany would use "+49" followed by their phone number.

Home Phone Number

Cell Phone Number

Email Address

Address

Mailing Address

Country

Street

City

Region

Postal Code

Is your permanent home address the same as your mailing address?

Yes

Permanent Home Address

Country

Street

City

Region

Postal Code

Emergency Contacts

In the United States:

First Name

Family Name (Surname)

Relationship to you

Telephone Number

Address

Country

Street

City

Region

Postal Code

In your home country:

First Name

Family Name (Surname)

Relationship to you

Telephone Number

Address

Country

Street

City

Region

Postal Code

Visa Information

Have you ever been in the United States for educational purposes?

Yes

On what date did you enter the U.S.?

Please indicate the type of visa you now hold?

Names of institutions you have attended and/or are attending in the U.S.