Application for Study Abroad
Saratov State University
Russia
Please respond to the following questions. Please print clearly.
Part I
STUDENT INFORMATION
Program(s) you are applying for: Saratov, Russia. Study Abroad.
Summer ____, Fall ____, Winter ___, Academic Yr. ___, 201____
1).
Name: Last _____________________ First _______________________ MI _____
2).
Passport No. ______________________________
3).
Current Mailing Address ___________________________________________
City _________________________ State _________________
Zip ___________
Phone (______) _____________________________
I will be at the above address until: _________________________________
4).
Email Address ________________________________________________
(please supply an address that will be active until the trip departure date)
5).
Parent/Guardian Address __________________________________________
City _________________________ State _________________
Zip ___________
Permanent Phone (______) _________________________
6).
7).
8).
College/Department _________________________
Major ______________________
Class Standing (Freshman, Sophomore, etc.) _____________________________
If applying for a Summer Program, please indicate the program variant you wish to
participate in (see Information page for details):




Basic Program ______
Basic Program with Ship Excursion ______
Basic Program with Moscow Excursion ______
Basic Program with both Ship and Moscow Excursions ______
Billing Address (if different from the Parent/Guardian address above): _____________________
_______________________________________________________________________________
Give the name, address and phone # of another emergency contact other than your
parent/guardian:
_______________________________________________________________________________
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Part II
SUPPORT MATERIALS SELF-CHECKLIST
Support Materials. Use this checklist to make sure that your application is complete. All
Items (other than recommendation letters and transcripts) should be submitted
together.
Please submit the following materials along with this completed Application.
_____
1).
Official current UW (or other university) transcript
_____
2).
Two (2) letters of recommendation (not from friends or family members)
_____
3).
A 1-2 page essay describing why you wish to participate in the program, and
what you expect to accomplish while on this exchange
_____
4).
Application fee: $100 for Wyoming residents / $300 for out-of-state residents.
Make check out to “International Programs / UW.” Non-refundable after
December 15, 2015.
(Note: Application to Wyoming-Saratov Study Abroad Program is not equivalent to applying
for admission to the University of Wyoming. If you wish to transfer summer hours (6 semester credits)
from Saratov to a UW transcript, and are not already enrolled, you must first apply for official
admission at UW, or make appropriate similar arrangements at your home institution.)
_____
5).
Questionnaire
_____
6).
Agreement/Student’s Obligation Form & Model Release Form
_____
7).
Medical Clearance
_____
8).
Insurance Info Forms
_____
9).
Two (2) photocopies of the picture/signature page of your passport
_____
10). Two (2) photocopies of your (International) Student Identification Card
Application and all support materials should be returned to the Wyoming-Saratov Study Abroad
Committee by December 1, 2015:
Coordinator, Wyoming-Saratov Study Abroad Program
Dept. 3603, Modern and Classical Languages
1000 E. University Ave.
University of Wyoming
Laramie, WY 82071-3603
Signature __________________________________
Date ________________________
With this signature I indicate that I have read, and understand, the Application. In addition, I attest that all
Application and Support Material information I have supplied to the Wyoming-Saratov Student Exchange Committee is
accurate and true.
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