Houghton Down Under

IMPORTANT: PLEASE READ: The application committee may consult Academic Records and Student Life offices as part of your application process. If you wish to check the status of your application or have not received notification that we received your application within 7 days, please email: ocp@houghton.edu.

Personal Information

First Name
Middle Name
Last Name
Gender
Date Of Birth
Country Of Birth
Citizenship
Social Security Number
Ethnicity
Marital Status
Religion

Address Information

Parent's Name
Home Phone
Street
City
State
Postal Code
Email

Health Information

General Health
Please list and explain any ailments you may have (e.g.: none, asthma, diabetes, allergies, etc.)
Please list any diet concerns you may have (e.g.: none, lactose intolerance, vegetarian, etc.)
Have you personally dealt with any of the following?
Depression
Eating Disorders
Other Emotional Struggles
Are you currently receiving treatment? (Type yes or no)
If yes please explain.
Are you willing to provide a physician's clearance if accepted to this program? (Type yes or no)
Are you willing to receive all required immunizations and precautionary treatments necessary for this program's location? (Type yes or no)

Academic Information

What college are you currently attending?
College address:
CPO#
Street
City
State
Postal Code
Student Phone Number
Email
Have you participated in an Off Campus Program before? (Type yes or no)
Program?
If you are not a Houghton College Student, please provide us the following information so we can contact the person on your campus who is responsible for approving study abroad. If your institution does not have an Off-Campus Programs or Study Abroad Office, please enter the name/e-mail address of your school Registrar.
Name
Email
Phone
Please list your major(s)
Please list your minor(s)
What is your current status?
What is your projected graduation date?
What is your overall GPA (if not available enter NA)
What is your GPA in your major?
I give the Admission Committee of this program permission to review my academic transcript: (Type yes or no)

FACULTY RECOMMENDATIONS

We will be requesting recommendations from two faculty members to accompany your application. One recommendation should come from your advisor; the other should be from another faculty member of your choice. Each one should be able to evaluate your maturity, flexibility, emotional stability, academic preparedness and motivation for off campus study. Please provide the appropriate names and email addresses. They will automatically be contacted with information on how to provide the recommendation. We recommend you contact the individuals you will be listing before submitting their name here.
Advisor's Name:
Advisor's Email Address:
Faculty Member Name:
Faculty Member Email Address:

Program Specific Questions

I am applying to participate in the Fall Semester of year
Check all that apply:
I require a home stay living arrangement.(eg. Intercultural Studies Major)
I have a passport
passport expires

Required Courses:

The courses are: (click here for full course descriptions)
  • Community and Society in Australia and New Zealand (4)
  • Art and Music in Australia and New Zealand (4)
  • Australia and New Zealand Culture Through Film (4)
  • Engaging Australian and New Zealand Culture

  • Options currently include:
  • Walking for Wellness(0, .5, 1)

  • Other options planned in art, communication, literature, music, and science.

    STATEMENT OF INTENT

    After reviewing the proposed course offerings and co-curricular aspects of studying in Australia, carefully and thoughtfully describe what you hope to learn by participating in the program, how you have prepared for an Australian educational experience, and how this program fits into your future goals, both academic and personal. Please limit yourself to 150 – 400 words.


    Type your initials in lieu of your signature: