ࡱ> tvs ZWbjbj>> bpTpT4D\=Kz8J:J:J:J:J:J:J$MiP|^J%%%^JJ'''%8J'%8J''RhFPI_ =%jG$J K0=KGP&P<IIPIlYL'I!E^J^J&=K%%%%P : BENNINGTON COLLEGE Student Exchange Application Kansai Gaidai University In Fall 2010 Bennington College established a Student Exchange Agreement with Kansai Gaidai Universitys Asian Studies Program in Hirakata, Japan. This exchange allows approved Bennington students the opportunity to study at Kansai Gaidai for a term or a year while maintaining their full time enrollment at Bennington College and retaining all of their financial aid. Exchange participants will pay room, board, tuition, and other mandatory Academic fees to Bennington as they normally do. Each Exchange student is responsible for providing his/her own transportation, living expenses during extended academic recess (i.e. holidays, winter and spring break, etc.), passport expenses, excess baggage shipment and storage, independent travel and such personal expenses as books, etc. There are a limited number of exchange spaces each year. Each applicant will be reviewed based on his/her academic merit, the fit of the program to his/her Bennington Plan, and financial need. Students who are not approved to study at Kansai Gaidai University through an exchange can apply through SUNY -Albanys study abroad program. Eligibility Students wishing to take part in this exchange must meet the following eligibility criteria in order to apply: Students must be in good academic and disciplinary standing. Students must have second-term sophomore standing with an approved Plan Proposal. Application Materials (Due by April 1 for fall and September 30 for Spring) % Personal Statement This statement (2-3 pages in length) should answer the following questions: Why do you wish to attend Kansai Gaidai through this exchange? What courses do you plan to pursue? How will your work there compliment the work of your plan at Bennington when you return? % Transcript Request Form % Four Identification Photographs All photos must be passport-sized (1.4 in x 1.8 in), original and printed on standard photo paper Must be recent, and show the whole face and head These may be obtained at a local pharmacy or photo lab (CVS, Rite Aid, Vermont Color) % Language Proficiency Form % Three Letters of Recommendation Your letters should be from former or present faculty members and/or advisors at Bennington and other colleges you have attended. He/she should speak to your academic achievements and to your ability to adapt to new environments. This letter should include his/her full name, title, place of work, and contact information, and be addressed to the university to which you are applying. % Advisor Approval Form % Financial Aid statement reflecting your federal and institutional aid at Bennington. This can be accessed at  My Financial Aid on Bennington s website. % Financial Responsibility Form Once your application has been processed and approved, Kansai Gaidai University will request the following additional materials: Medical Information Form Confidential Financial Questionnaire Form Non-Refundable Application Fee of $50 A copy of your passport (must be valid through the duration of your intended study in Japan) BENNINGTON COLLEGE Kansai Gaidai Exchange Advisor Approval Form To be completed by applicant Name of Applicant:_______________________________________ Students Signature:_______________________________________ Date__________ To be completed by applicants faculty advisor 1. Please comment briefly on the applicants Plan at Bennington and the appropriateness of this exchange program to the goals of his/her plan of study at Bennington. 2. Please check one: I strongly recommend this applicant for the Kansai Gaidai University/Bennington Exchange Program. I recommend this applicant for admission to the Exchange Program but with reservation I DO NOT recommend this applicant for admission to the Exchange Program 3. Additional Comments (optional): Faculty Advisors Name (Please Print): ________________________________ Faculty Advisors Signature: _______________________________Date: __________ Please return this form to Laurie Kobik, Assistant Dean of Academic Services, in Barn 123H. If you have any questions, you can email Laurie at lkobik@bennington .edu or by phone at x4400. BENNINGTON COLLEGE Kansai Gaidai University Exchange Application Language Proficiency Form Students Name: ___________________________________ TO THE STUDENT: Please evaluate your proficiency in Japanese and sign the form. Ask your current professor or the person who has most recently taught you in a language course to complete the rest. Please check all appropriate boxes. Estimate your proficiency in Japanese: Excellent Good Fair Poor Speaking % % % % Listening Comprehension % % % % Reading % % % % Writing % % % % I waive my right to access this reference completed by ___________________________ % YES %0NO Student s Signature: __________________________________ Date: _______________ TO THE REFERENCE: The student named above is applying for the Bennington College/Kansai Gaidai University Academic Exchange Program. We would appreciate your assessment of the applicants attributes with which you are familiar. You may also attach a letter of recommendation. How long, and in what capacity, have you known the applicant? Please evaluate the applicants ability in Japanese, if you are familiar with the applicants language ability. L= Low M= Mid H= High NoviceIntermediateAdvancedSuperiorN/ASpeakingL / M / HL / M / HListeningL / M / HL / M / HReadingL / M / HL / M / HWritingL / M / HL / M / H Are you familiar with ACTFL guidelines? % YES %0NO Does the applicant demonstrate a consistently high level of social and personal maturity? Please comment: Please add any additional information that would assist us to understand the candidates qualifications. Please sign below and return this form to Laurie Kobik at Bennington College, 1 College Drive, Bennington, Vermont 05201. Your Name (please print): _____________________________________ Signature: _______________________________________ Date: __________________ Title: ________________________________ Department: _______________________ Inst0JKL *,.T\r*t(dysmsgZMsmgmgmgmgmhf[hf[B*aJphh/hf[B*aJph h}zaJ hxaJ hY%aJhY%hY%CJ(aJ(hjh}zOJQJhjhf[OJQJ hxhx hY%hY%hY%OJQJh}zOJQJhNOJQJhNh}zCJOJQJaJhNhNCJOJQJaJh hNCJOJQJaJh}z5@(B*\aJphh}z0KL` a 0 1 n o *Th^hgdY%gdjgdxgdY% & FgdNTlf,0hVWh^hgdxh^hgdj & F gdjh^hgdf[h^hgd{ & F gdY% & F gdxh^hgdx & Fgdf[ & Fgdxh^hgdY%dfh D Vp*,4BD.024hzrzhY%OJQJhY%hxCJ(aJ(h{OJQJhjhjOJQJhjhf[OJQJhjhY%OJQJhjhxOJQJhxOJQJhY%OJQJaJh}zOJQJh}zOJQJaJ hf[aJ hxaJ hkaJhY%hY%CJ(aJ( hY%aJ+hjlUV/02HJR_`b˵yldYNJhy!%hehxOJQJh/heOJQJhxOJQJhx5CJ OJQJ\hxCJ aJ2hx5@(B*\aJphhxh/h}zOJQJh/hxOJQJh/hY%OJQJh/hf[OJQJhxh}zOJQJhxhY%OJQJh}zh{OJQJh{h{OJQJh{CJ(aJ(hY%h{CJ(aJ(Wp02J`ab7gdy!%$a$gdxgdxgdx & Fgdf[ & Fgdxb~67:DfGɹɹɃɃɃteVehX5B*CJ\aJphh}z5B*CJ\aJphhy!%5B*CJ\aJphhy!%OJQJhe5B*CJ\aJphhf[B*aJphheB*aJphhehf[OJQJheOJQJh/OJQJheheOJQJheh/hy!%hy!%hy!%B*OJQJph *hy!%hy!%B*OJQJph!Zghv gdy!%  & F]gde  & F]gde]gdeGXuv   @ N ` n R!! "v%%(PzQ{Q|QQQɷ}qm_hd@CJ0OJQJ^Jhdh}zB*CJaJphU h}z^J h}z5^J h}z6>* h}z5h}zh}z5CJ\#hy!%h}z5B*CJ\aJph#h}z@B*CJ0OJQJ^Jphh}z@CJ0OJQJ^Jhy!%5B*CJ\aJphh}z5B*CJ\aJphh}z5CJ\aJ 7 P p :!$R$93** $$Ifa$$Ifkd$$IfcֈQ E" t0644 laR$T$V$X$Z$0kds$$IfcֈQ E" t0644 la $$Ifa$Z$n$$$$$$ $$Ifa$$If$$$$$93** $$Ifa$$Ifkd$$IfcֈQ E" t0644 la$$$$$0kdY$$IfcֈQ E" t0644 la $$Ifa$$$%%%%% $$Ifa$$If%% %%1&2&97727 & Fkd$$IfcֈQ E" t0644 la2&3&4&5&6&&&&&&&' '!'a'b'''''HPIPPPPP1Q2Q{Q & Fitution: ______________________________________________________________ Street Address: ___________________________________________________________ City: _______________________ State: ___________________ Zip Code: __________ Office Phone: _____________________________ Fax: __________________________ Email: _________________________________________________________________ BENNINGTON COLLEGE Kansai Gaidai University Exchange Application Financial Responsibility Agreement Exchange participants will pay room, board, tuition, and other mandatory Academic fees to Bennington College. Each student is responsible for providing his/her own transportation, living expenses during extended academic recess (i.e. holidays, winter and spring break, etc.), passport expenses, excess baggage shipment and storage, independent travel and such personal expenses as books, etc. Outlined below are approximate expenses for one term of study at Kansai Gaidai University which are NOT included in the exchange. Please note that this total is an average estimate of costs. Estimated Additional Costs: Travel to and from Japan: $1300 Additional expenses: Homestay participants: Lunch Expenses $600 Text books $200 Avg. Commuting Expenses $700 Miscellaneous $1,400 Expenses $2,900 Travel $1,300 Total $4,200Dormitory Residents: Meal Expenses $1,500 Textbooks $200 Miscellaneous $1,400 Expenses $3,100 Travel $1,300 Total $4,400 If I am selected to participate in the exchange program, I understand and agree that I will be financially responsible for all additional expenses incurred during my time at Kansai Gaidai University. 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