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National Student Exchange Supplemental Form

Priority Application Deadline: Feb. 25

(NSE continues to accept applications until November 15 each year on a space-available basis)


Begin your NSE application by selecting ‘Apply Now’ at www.nse.org

Prior to submitting your application, please review:

Payment Plans:

Host Campus Placement (Plan A):    Student pays the host institution’s in-state tuition

Home Campus Placement (Plan B):  Student pays MSU tuition

Note that Room & Board and any fees which are assessed as a condition of enrollment (i.e. fees for laboratory courses, general service, computer, art supplies, etc.) are always paid to the host campus.

 

NSE Application Instructions:

  • Submit a complete application via the portal - Priority Application deadline (February 25)
  • Schedule a Study Abroad/NSE Advising appointment with Emily Mason (NSE Coordinator) to finalize application. Bring the following items to your appointment:
    • Completed NSE Application online
    • NSE Placement Preference List (see page 2)
    • NSE Program of Study Statement
    • Parent Reference
    • Advisor/Staff/Faculty Reference
    • $200 Application fee made payable to: NSE-MSU

 

For questions, or to schedule an appointment, contact the NSE Coordinator:

 

Emily K. Mason

University Studies – NSE

130 Gaines Hall

(406) 994-3532

Emily.mason1@montana.edu 

 NSE Placement Preferences

 

Period of Exchange (circle one):   Academic Year;    Fall 20_____;   Spring 20_____;      Summer 20_____;

 

List in priority order the institutions you wish to attend and circle the payment plan(s) you could attend on.  (The online application allows you to include 8 schools, but 4-5 generally offers a good mix to start with.)

 

Name of Institution/ Tuition Payment Plan

On-Campus Housing (circle one)

Major classes? (circle one)

 

1)     __________________________________________________

 

   Host Tuition Only;   Home Tuition Only;  Home or Host OK

 No Housing

 Need Housing

Prefer Housing

               

 

 No Major Classes

 Need Major classes

 Major Classes Preferred

 

 

2)     _________________________________________________

 

   Host Tuition Only;   Home Tuition Only;  Home or Host OK

No Housing

 Need Housing

Prefer Housing

               

 

 No Major Classes

 Need Major classes

 Major Classes Preferred

 

 

3)     _________________________________________________

 

   Host Tuition Only;   Home Tuition Only;  Home or Host OK

No Housing

 Need Housing

Prefer Housing

               

 

 No Major Classes

 Need Major classes

 Major Classes Preferred

 

 

4)     _________________________________________________

 

   Host Tuition Only;   Home Tuition Only;  Home or Host OK

No Housing

 Need Housing

Prefer Housing

               

 

 No Major Classes

 Need Major classes

 Major Classes Preferred

 

 

5)     _________________________________________________

 

   Host Tuition Only;   Home Tuition Only;  Home or Host OK

No Housing

 Need Housing

Prefer Housing

               

 

 No Major Classes

 Need Major classes

 Major Classes Preferred

 

                              

 Release of Information

 

The collection, retention, and dissemination of your records and information about you are subject to federal regulation under the Family Education Rights and Privacy Act of 1974.  You are responsible for specifying the persons or agents who have access to your records. Therefore, it is necessary that we obtain your permission to request and release information pertinent to your exchange. Please read the following statements and sign below:

 

  • I understand that it will be necessary for my campus to obtain certain information about my academic and non-academic record in order to: 1) ascertain my eligibility and suitability for an exchange through NSE, and 2) facilitate my exchange after it is arranged. I hereby grant permission to the NSE coordinator and/or designee to obtain information that is appropriate to my application and participation in the exchange including, but not limited to letters of recommendation, permanent academic records and transcripts, conduct, fiscal records, all for the purposes of exchange placement and participation, continuation, or termination.
  • I give permission to the NSE coordinator and/or designee to contact appropriate personnel in order to verify that I am under no disciplinary action for violation of codes of academic and student conduct and/or that I have no judicial cases pending which would invalidate my eligibility for exchange.
  • I hereby release information contained in my application, letters of recommendation, transcripts, and other information required as part of the NSE application process to my home NSE Coordinator, designee, and those individuals/committees responsible for reviewing and approving my application for exchange participation.
  • I hereby release information contained in my application, letters of recommendation, transcripts, and other information required as part of the NSE application process to National Student Exchange Headquarters and to the NSE host institution at which I wish to be placed.

 

Signature_________________________________________________ Date ___________

 

Name _________________________________________________       Student ID ____________