Outbound Exchange Application

  • Personal Details

  • MM slash DD slash YYYY
  • Please indicate the languages that you know fluently and are comfortable taking upper year University courses taught in those language(s).
  • Exchange Duration

  • Partner Institution Selection

    Please rank your choices:
  • If you have selected a consortium as one of your choices, please indicate the host institution(s) that you are applying for. (Example: NSE - Oklahoma State University, University of Hawaii at Manoa, etc.)
  • Host InstitutionCourse Code & Title 
    For each of the host institutions that you have listed in your application, please list 5 courses at each host institution that you are interested in taking. Links to courses can be found at https://brocku.ca/international/mobility/outbound/partner-institutions/ If you need help in finding the course list, please contact us at exchanges@brocku.ca Note: You do not need to list courses for Ontario/Rhône-Alpes Exchange Program (ORA), National Student Exchange (NSE), and Killam Fellowships Program on this application
  • Contact Details

  • Student Declaration

  • Required Supplemental Documentation

  • Accepted file types: pdf, Max. file size: 29 MB.
  • Accepted file types: pdf, Max. file size: 29 MB.
    Please visit your Academic Advisor to obtain a completed Program Plan
  • Accepted file types: pdf, Max. file size: 29 MB.
    (From professor/instructor that taught you previously)
  • Accepted file types: pdf, Max. file size: 29 MB.
    (Can be from anyone except relatives)
    Application fee can be paid here: https://brocku.universitytickets.com/w/event.aspx?id=1985
  • Accepted file types: pdf, Max. file size: 29 MB.
    Please submit your receipt or proof of payment for the exchange application here
  • Privacy Statement

    Brock University protects your privacy and your personal information. The personal information requested on this form is collected under the authority of The Brock University Act, 1964, and in accordance with the Freedom of Information and Protection of Privacy Act (FIPPA) for the administration of the University and its programs and services. Direct any questions about this collection to Brock International Services, at exchanges@brocku.ca
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