S T U DY I N I TA LY AT T H E
JOHN FELICE ROME CENTER
A P P L I C AT I O N C H E C K L I S T
CRITERIA
• At least 30 semester hours (or 45 quarter hours) of earned credit prior to studying in Rome
• At least a 2.75 (on a 4.0 scale) cumulative grade point average
• Good disciplinary standing
• Enrollment in any accredited baccalaureate-granting college or university in the United States. Students from schools other
than Loyola University Chicago are designated as “visiting” students.
W H E N TO A P P LY
• Students can submit application materials to SLU Study Abroad up to one year in advance.
• Applications will not be reviewed until all materials are received by the Rome Center Chicago’s Office.
• Applications can be submitted until the Rome Center is full.
I Application
I Pa s s p o r t I n fo r m a t i o n : Submit a photocopy of the basic information page of your valid passport, which should have
an expiration date at least 90 days past the concluding date of the academic term in which you will be enrolled at the
Rome Center. If you hold duel citizenship in an European Union country and have a valid passport of that country, please
submit a photocopy of that passport.
I A o n e - p a g e t y p e d e s s ay: Explain why you want to study abroad and what you hope to gain from a year or
semester at the John Felice Rome Center.
I R e co m m e n d a t i o n s: (Below)
• Academic advisor or Dean
• Judicial Life or Dean of Students
• Study abroad office (visiting students only)
I O f f i c i a l t ra n s c r i p t s: Send official transcripts from home institution and any other institution attended.
Please sign and submit this checklist with your application materials. Please also keep a copy for your records.
___________________________________________________________
_______________________________________
Signature
Date
S T U DY I N I TA LY AT T H E
JOHN FELICE ROME CENTER
A P P L I C AT I O N F O R A D M I S S I O N
Application for:
Full Year:
Fall Semester:
Spring Semester:
PA S S P O R T
Passport Number:
August to April ___________________ (year)
August to December _______________ (year)
January to April ___________________ (year)
Issuing Country: ________________________ Expiration Date: ____________
Please enclose a photocopy of the data page of your passport with this application form. No decision will be made about admission to the John Felice
Rome Center without proof of this document.
1. Name [exactly as on passport]:
First
Middle
Last
2. Social Security Number: _____________________________________________
3. Birthdate: _________________________________________________________
4. Citizenship: ________________________________________________________________________________________________
If you hold dual citizenship between the USA and another nation, please specify both countries of citizenship.
5. Single
Married
6. Male
Female
7. Permanent Address: Family or home address.
8. Current Information: During the academic year
if different from permanent address.
Address
Address
Apt. or Box #
City/State/Zip
City/State/Zip
Home Phone
Cell Phone
Apt. or Box #
9. E-mail: ___________________________________________________________________________________________________
10. Emergency Contact Information:
Name: ___________________________________________________
Cell: (
) ______________________________________________
Phone: (
) ____________________________________
E-mail: ___________________________________________
11. Religion (Optional):________________________________________________________________________________________
12. List in reverse order all colleges and universities attended, beginning with the institution in which you are
currently enrolled:
a) ______________________________________________________
Date last attended: _________________________________
b) ______________________________________________________
Date last attended: _________________________________
c) ______________________________________________________
Date last attended: _________________________________
13. Cumulative G.P.A.: _____________________________________
14. Class standing upon entering Loyola University Chicago’s John Felice Rome Center:
Senior Junior Sophomore Special
15. Major: __________________________________________________________________________________________________
16. Please indicate all Italian courses completed at the college level:
Italian I Italian II Italian III Italian IV Italian Composition and Conversation I
Italian Composition and Conversation II Other None Native Speaker
17. Are you a Loyola University Chicago faculty or staff dependent? If yes, indicate faculty or staff name.
_____________________________________________________________________________________________________________
18. Have any family members previously attended the John Felice Rome Center? If yes, please indicate the name,
relationship and year of attendance.
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
19. How did you become interested in the John Felice Rome Center?
Former Student Foreign Study Advisor Brochure Internet Friend
Poster Other
Rome Center Representative
The information I have provided above is true and complete.
Signature: _______________________________________________
Date: ____________________________________________
Please refer to Application Checklist before submitting application materials. Submit applications to SLU Study Abroad.
Please mail or turn in this form to the Office for International Programs.
S T U DY I N I TA LY AT T H E
JOHN FELICE ROME CENTER
Applicant’s E-mail Address: _______________________________
Application for:
Full Year:
Fall Semester:
Spring Semester:
Applicant’s Social Security Number: ________________________
or Home Institution I.D. #:__________________________
Applicant’s Name: _______________________________________
August to April ___________ (year)
August to December _______ (year)
January to April ___________ (year)
AC A D E M I C A D V I S O R / D E A N R E CO M M E N DAT I O N
A recommendation writer should be aware that Public Law 93 - 380 permits the student to inspect recommendations unless
he/she has signed the waiver below. The undersigned student hereby waives his/her right to inspect this form under the
Family Educational Rights and Privacy Act of 1974 (Buckley Amendment).
_________________________________________________________
____________________________________
Applicant’s Signature
Date
1. Has the applicant ever been on academic probation? _______ Yes _______ No
2. Grade point average as of this date: _______ on a scale of ____________
3. Total number of college credits completed as of this date: ____________ Semester hours
3. Total number of college credits completed as :
___________ Quarter hours
4. Applicant is: _______ Recommended _______ Recommended with reservation _______ Not recommended
On the basis of _______ records _______ personal acquaintance
Academic Advisor’s and/or Dean’s Comments:
Name: _____________________________________________________ Signature: ____________________________________
College or University: _______________________________________________________________________________________
Position: ________________________________________________________ Date: ____________________________________
Please mail or turn in this form to SLU Study Abroad Office.
Loyola University of Chicago is an Equal Opportunity Educator and Employer.
S T U DY I N I TA LY AT T H E
JOHN FELICE ROME CENTER
Applicant’s E-mail Address: _______________________________
Application for:
Full Year:
Fall Semester:
Spring Semester:
Applicant’s Social Security Number: ________________________
or Home Institution I.D. #:__________________________
Applicant’s Name: _______________________________________
August to April ___________ (year)
August to December _______ (year)
January to April ___________ (year)
J U D I C I A L L I F E / R E S I D E N T I A L L I F E R E CO M M E N DAT I O N
A recommendation writer should be aware that Public Law 93 - 380 permits the student to inspect recommendations unless
he/she has signed the waiver below. The undersigned student hereby waives his/her right to inspect this form under the
Family Educational Rights and Privacy Act of 1974 (Buckley Amendment).
_________________________________________________________
____________________________________
Applicant’s Signature
Date
1. Has the applicant ever been under disciplinary censure at your school? _______ Yes _______ No
2. Is this student presently in good disciplinary standing? _______ Yes _______ No
3. Do you know of any reason not to recommend this student to Loyola’s Rome Center program? _______ Yes _______ No
4. If the answer to either question #1 or #3 is yes, and the details are not confidential under Public Law 93 - 380, could you be
specific about the circumstances? If the details are confidential, would you so indicate? Please put your response on the
other side of this form.
5. If there are concerns about this student’s behavior or ability to adapt to a small residential environment, please use the
reverse side to comment.
6. Student is _______ Recommended _______ Not Recommended
On the basis of _______ records _______ personal acquaintance
Name: __________________________________________________ Signature: ____________________________________
College or University: _____________________________________________________________________________________
Position: ______________________________________________________ Date: ____________________________________
I understand that the recommendation writer will communicate information contained in records maintained by the
above named college or university concerning me in order to answer the above stated questions. I hereby authorize the
communication of this information.
_________________________________________________________
_______________________________________
Applicant’s Signature
Date
Please mail or turn in this form to SLU Study Abroad Office.
Loyola University of Chicago is an Equal Opportunity Educator and Employer.
S T U DY I N I TA LY AT T H E
JOHN FELICE ROME CENTER
Applicant’s E-mail Address: _______________________________
Application for:
Full Year:
Fall Semester:
Spring Semester:
Applicant’s Social Security Number: ________________________
or Home Institution I.D. #: _________________________
Applicant’s Name: ______________________________________
August to April ___________ (year)
August to December _______ (year)
January to April ___________ (year)
S T U DY A B R OA D / A F F I L I AT E R E CO M M E N DAT I O N
A recommendation writer should be aware that Public Law 93 - 380 permits the student to inspect recommendations unless
he/she has signed the waiver below. The undersigned student hereby waives his/her right to inspect this form under the
Family Educational Rights and Privacy Act of 1974 (Buckley Amendment).
_________________________________________________________
____________________________________
Applicant’s Signature
Date
Because you are the Rome Center's representative on your campus, we would like the student to discuss his/her plans with you
and be counseled in general terms about study abroad.
1. Are there considerations we may have overlooked in the other recommendation forms?
2. Do you have any special recommendation concerning this student?
Name: _____________________________________________________ Signature:_____________________________________
College or University: _______________________________________________________________________________________
Position: ________________________________________________________ Date: ____________________________________
Please mail or turn in this form to SLU Study Abroad Office.
Loyola University of Chicago is an Equal Opportunity Educator and Employer.
OFFICE USE ONLY
Transcript Request
Loyola University Chicago – Rome Center
6525 N. Sheridan Road, Chicago, IL 60626
(773) 508-2760
Last Name:
Date Received:
Date Processed:
Current students and individuals with LOCUS IDs should request Official Transcripts through LOCUS. Use this form only if LOCUS is
unavailable to you or if you are tendering the expedited processing fee. Do not use this form if the request has been made through LOCUS.
Former students without LOCUS IDs may fax this form to 312-915-6452. To check on the status of a transcript request, or for more
information, email registrar@luc.edu or call (312) 915-7221.
Personal Information
Name (printed): _______________________________________________ Student ID/SSN #: _____________________
Street Address: _____________________________________________________________________________________
City: __________________________________________ State: _______________ Zip Code:______________________
Daytime Phone: _____________________ E-mail address: _________________________Date of Birth: _____________
Dates of Attendance or Graduation: ___Fall 2008_____________ Degrees Earned: _______N/A____________
Other Names Used/Under Which Records May Appear: ______N/A______________________________________________
Division/Department:______ROME CENTER______________________________________________________________
Please send __0___ transcript(s) to my address above.
Please send __1___ transcript(s) to:
Name: ___Saint Louis University____________
Address line 1:____221 North Grand Blvd.____________________________
Street and Room #: ___Office of International Services, DB 150_________________
City/State/Zip Code: ___St. Louis, MO 63103____________________________
Transcript Delivery Information
Please check one:
X Send Via Regular Mail
□ Expedite, Send Next Day Delivery (I have attached $12.00 per address)
□ Send after current grades are posted. Current Term: _________________
□ Student Pickup WTC (use LOCUS. Next day after 12:00 p.m. service)
□ Student Pickup LSC, Sullivan Center (use LOCUS. 2 to 3 day service)
Comments helpful to this request:
Total amount enclosed to cover expedited postage: $____0 – ROME CENTER_______
Signature: ___________________________________________________ Date: ______________
Please note: Unsigned transcript requests cannot be processed. We are not able to process requests for students with outstanding financial obligations to the
University. If you have questions regarding your financial hold status, please call the Office of the Bursar (773) 508-3180.
*Transcript requests require 3 to 5 days to process. We cannot provide a transcript on the same day as the request is received.