Student Exchange Program Online Application | İstanbul Medipol University International Students Office

Online Application Form

1. Personal Information:

Full Name

Mother's Name

Father's Name

Date of Birth

Gender

Female

Male

Nationality

Passport Number

Passport Expiry Date

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email address

Phone number

* Your peronal informatıon will be used for educational purpouses only by Istanbul Medipol University Internatıonal Office Representatives.

** Upon arrival, please ensure to bring supporting documents providing the names of your mother and father for verification purposes.

2. Academic Background:

Current University/College/Vocational School Name

Department

Current Academic Year

GPA

3. Language Proficiency:

English Proficiency Level (e.g.)

Results of Language Proficiency Tests (e.g., TOEFL)

4. Exchange Program Details:

Desired Semester / Year of Exchange

Desired School / Faculty

Desired Department

Desired Program

5. Motivation Statement

Why do you want to participate in the exchange program? (125-150 words)

How will this experience contribute to your academic and personal development? (125-150 words)

6. Extra-Curricular Activities:

List of current and past extracurricular activities, including leadership roles, if any.

7. Reference/Recommendation:

Contact information for a professor or academic advisor at your current educational institution who can provide a letter of reference.

8. Emergency Contact Information:

Name of an emergency contact person

Relationship to the applicant

Phone number and email address of the emergency contact

9. Health and Special Requirements:

Any pre-existing medical conditions or special requirements

10. Housing Preferences. Put a tick in the box of the preffered one:

On-campus accommodation

Off-campus accommodation

11. Proposed arrival and departure dates:

Arrival

Departure

12. Documents to Upload:

Passport copy

One file only.
512 MB limit.
Allowed types: gif, jpg, jpeg, png.

Academic transcripts

One file only.
512 MB limit.
Allowed types: pdf.

Language proficiency test results (if applicable)

One file only.
512 MB limit.
Allowed types: pdf.

Resume or curriculum vitae

One file only.
512 MB limit.
Allowed types: pdf.

Student Certificate (2 Originals should be brought upon arrival)

One file only.
512 MB limit.
Allowed types: pdf.

13. Terms and Conditions Agreement:

I hereby confirm that I have read, understood, and agree to comply with all the terms and conditions outlined in the exchange program guidelines.