Intercultural Programs Application Form

In addition to this application, students applying to EMU Intercultural programs must have references submitted by each of the following persons: 1) an academic advisor or other faculty member 2) a faculty, staff or non-family member (pastor, work supervisor, Residence Director, coach, etc.).

Once you complete this application, please forward the link for the reference form to 2 individuals who have agreed to serve as your references. http://emu.edu/intercultural/intercultural-reference-form/
If references were submitted for you with a previous EMU Intercultural application, that content can be made available to accompany this application, if they were submitted in the past 12 months. Send requests to use previous references to intercultural@emu.edu.

Name of applicant Name of applicant First Last
Today's date: Today's date: / MM / DD YYYY
Intercultural Program applying for:

If your program of interest is not on this list, you may have missed the application deadline. Return to the Application Process page to find the program-specific application, or check with the faculty leader to apply after the deadline.

Visit emu.edu/WCSC/ to apply for WCSC.
EMU ID #
Current age
Major/s:
Minor/s:
Cumulative GPA
GPA last semester
Email:
Phone: Phone: - ### - ### ####
Home Address Home Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Class year (FY, SO, JR, SR)
Varsity athletic team (if any)
Regular season end date Regular season end date / MM / DD YYYY
1. List any previous international or cultural immersion experiences you've had, or any bi-lingual context experiences.
2. List language or other courses/experience that you have completed (or plan to complete) that relate to the program. Include foreign language, even those different from languages used in the intercultural location.
3. List and describe any special interests and unique experiences that attract you to this program.
4. What are your expectations for the semester/summer seminar? What do you hope to learn?
5. Personal Characteristics:
Program participants live with other students and relate with a diverse population of people in the intercultural setting. Travel and unknowns contribute to the intense and demanding nature of many days, in addition to facing new ideas and challenges.

Please rate yourself in each category, on a scale of 1-5, with "5" being extremely well developed and "1" being poorly developed.
Emotional Maturity:

"5" for extremely well-developed and "1" for very poorly developed.
Self-confidence:
Sense of Humor:

"5" for extremely well-developed and "1" for very poorly developed.
Integrity:
Responsibility:

"5" for extremely well-developed and "1" for very poorly developed.
Peer Relationships:
What contribution(s) do you think you can make to the program and the study group?
6. Academics & Work:
Intercultural learning demands a great deal from participants, from background readings and careful listening (sometimes to non-native English speakers), to taking initiative to engage surroundings and people, as well as group life responsibilities.

Please rate yourself in each category, on a scale of 1-5, with "5" for extremely well-developed and "1" for poorly developed.
Self Motivation:

"5" for extremely well-developed and "1" for very poorly developed.
Curiosity to Learn:
Oral Expression:

"5" for extremely well-developed and "1" for very poorly developed.
Written Expression:
Work in Groups:

"5" for extremely well-developed and "1" for very poorly developed.
Work Independently:
Time Management:

"5" for extremely well-developed and "1" for very poorly developed.
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