Exchange Application

* indicates required field

Round: EXCHANGE (HIDDEN)

Round Always Create (HIDDEN)

Generate Pin (HIDDEN)

Submitted Flag (HIDDEN)

Submitted Date (HIDDEN)

Student Type (HIDDEN)

Contact Information

First Name*

Middle Name

Family Name*

Email Address*

Birthdate*

Sex*

Mailing Address*

Country

Street

City

Region

Postal Code

Foreign Permanent Address

Country

Street

City

Region

Postal Code

Phone Number

Personal Information

Country of Citizenship*

Are you a Permanent Resident of the United States?

Yes

No

If you are currently in the United States, please indicate your current visa status:

Please submit a copy of your current I-20 form (F visa students) or DS-2019 form (J visa students) to assist in processing your application for transfer to Duquesne University.

First Language

Many groups, including the government and accrediting agencies, ask universities to describe the ethnic/racial backgrounds of their students and employees. In order to respond to these requests, we ask you to answer the following two questions.

Are you Hispanic or Latino?

Yes

No

Regardless of your answer to the prior question, please check one or more of the following groups in which you consider yourself to be a member:

Definitions for the above groups are as follows.

White: A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.
Black or African American: A person having origins in any of the black racial groups of Africa.
Hispanic or Latino: A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.
Asian: A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.
American Indian or Alaska Native: A person having origins in any of the original peoples of North and South America (including Central America), who maintains cultural identification through tribal affiliation or community attachment.
Native Hawaiian or Other Pacific Islander: A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.

Guardian Information

Guardian Type

Guardian First Name

Guardian Last Name

Education Information

Institution Currently Attending

Institution Address

Institution City

Institution Country

Institution Website

Exchange Program Contact Name

Exchange Program Contact Email

Additional Information

When do you plan to enroll?*

Date Entered Current Institution

For how long will you attend Duquesne?

One Semester

Two Semesters (one academic year)

Will you be attending as an Undergraduate or a Graduate (Masters) student?*

Undergraduate

Graduate

Current field of study?

Intended Field of Study at Duquesne?*

Dismissed

Have you ever been dismissed from any institution of higher education or subject to any non-academic related disciplinary action? (Answering 'yes' to this question will not eliminate you from consideration for admission to the University.)*

Dismissed

Have you ever been dismissed from any institution of higher education or subject to any non-academic related disciplinary action? (Answering 'yes' to this question will not eliminate you from consideration for admission to the University.)*

Yes

No

Describe in full detail*

Criminal Charges

Are there any criminal charges presently pending against you other than a summary traffic offense? (Answering 'yes' to this question will not eliminate you from consideration for admission to the University.)*

Criminal Charges

Are there any criminal charges presently pending against you other than a summary traffic offense? (Answering 'yes' to this question will not eliminate you from consideration for admission to the University.)*

Yes

No

Describe in full detail: Please give the approximate date of each incident, explain the circumstances, and reflect on what you learned from the experience.*

Conviction Charges

Have you ever been convicted, pled guilty or no contest to a crime other than a summary traffic offense? (Answering 'yes' to this question will not eliminate you from consideration for admission to the University).*

Conviction Charges

Have you ever been convicted, pled guilty or no contest to a crime other than a summary traffic offense? (Answering 'yes' to this question will not eliminate you from consideration for admission to the University).*

Yes

No

Describe in full detail: Please give the approximate date of each incident, explain the circumstances, and reflect on what you learned from the experience.*

Document Upload

Passport

Letter of Recommendation

Undergraduate applicants: One recommendation letter from a professor or professional reference. Please provide English translations if not already written in English.

Graduate applicants: Two recommendation letters from a professor or professional reference. Please provide English translations if not already written in English.

Transcript

Personal Statement

A once page personal statement answering the following question: "How do you think this international experience at Duquesne may assist you with your future goals?"

TO BE READ BY ALL APPLICANTS

It is the policy of Duquesne University to admit those applicants who are best qualified to profit from the opportunities it offers for intellectual, spiritual and social growth. It does not discriminate on the basis of religious preference, sex, race (color), national or ethnic origin, non-performance related handicap or veteran status in the administration of its educational policies, admissions policies, scholarship and loan programs, athletic and other University-administered programs. By submitting this form I understand and agree that my continuance upon the rolls of the University, receipt of academic credits, graduation and conferring of any degree or the granting of any certificate are strictly subject to the disciplinary authority of the University, which is vested in the President, and subject to his reserved powers in the dean of each faculty.