Incoming Exchange Student Nomination Form

Student's First Name

Student's Last Name

Date of Birth

Sex

Student Email Address

Visa Type

Major at home university

Major at K-State

Current level of study

Home university

Home university exchange coordinator name

Home university exchange coordinator email address

Does the above listed student(s) have an unsatisfactory disciplinary record at their home institution?

Yes

No

Please explain:

English Proficiency (select one of the options below):

I confirm that the above-named student has a sufficient level of English language knowledge to take courses taught in English and function on a day-to-day basis based as indicated in exchange agreement. If English proficiency is verified by a separate department, please attach supporting documentation.

The above student has adequate results from a recognized English language test. (Please attach scores).*

The above student does not have adequate English proficiency and will need to take an English Placement Test. Contact elp@ksu.edu to register for the WildCAT English Proficiency Test.

*Information on minimum requirements for recognized tests can be found on the Office of Recruitment and Admissions website.

Transcripts: starting January 2024, student transcripts will only be available in a digital format. We are NOT able to send physical copies of transcripts to our partners.