Rider University Exchange Student Application

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** Submitted Flag - Hidden **

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** Application Type - Hidden **

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** Exchange Attribute - Hidden **

Required fields are marked with an asterisk (*).

Personal Information

Prefix

First Name (Given) *

Middle Name

Last Name (family name) *

Suffix

Preferred/Lived First Name

Birthdate *

Sex

Email Address *

Mobile Phone Number * (include +country code)

Address

Permanent Address *

Country

Street

City

Region

Postal Code

International Information

Are you applying from one of our partner universities?

Yes

No

Select your university:

Citizenship Information

Country of Birth *

City of Birth *

Primary Citizenship *

Dual Citizenship

Social Security Number (omit dashes)

Residency Status

U.S. Permanent Resident

Are you currently in the U.S.? *

Yes

No

Current Visa

Are you seeking an J-1 student visa from Rider University? (J-1 visa is an exchange student Visa)

Yes

No

Passport Biographic Data Page

Please upload a copy of your Passport Biographic Data Page

Are you Hispanic or Latino?

Yes

No

Regardless of your answer to the prior question, please check one or more of the following groups in which you consider yourself to be a member:

Program Information

Entry Term *

What is your academic area of interest? *

** App Round - Continuing Studies - Hidden ** -24-25

** App Round - Continuing Studies - Hidden ** -25-26

** Student Type - Non-Degree- Hidden **

Non-Degree/Visiting

** Student Level - Undergraduate - Hidden **

** Major - Non-Degree - HIDDEN **

Prior Education Information

Have you ever taken the TOEFL or IELTS? (select all that apply)

No previous test

TOEFL

IELTS

Other

TOEFL Score

IELTS Score

Other Test Name & Score

You may upload an UNOFFICIAL copy of your test scores. This unofficial transcript will be used for an initial review of your application. You are still required to have your official test score(s) sent to Rider University.

Begin typing the name of your school in the field below to search for your school. If listed, please click to select. If you are having trouble finding you school, try typing in the city or state where it is located. If your school is not listed, please type in your school's name.

University Name

**CEEB (Hidden)**

** Priority (Hidden) **

High Priority

School City

School Country

** Level of Study - Undergraduate - HIDDEN **

Dates Attended

to

You may upload an UNOFFICIAL copy of your transcript.

Personal Statement

Please submit an essay on why you are choosing to study at Rider University at this particular point in your academic career?

Or, type or copy-and-paste your document here:

Financial Information

You are required to complete the International Exchange Student Supplement. The Exchange Supplement will be available on your Be-a-Bronc application status portal. You will receive directions for accessing your Be-A-Bronc portal within 2 days of submitting your application.

Disciplinary History

Have you been found responsible for a disciplinary violation at an educational institution you have attended, whether related to academic misconduct or behavioral misconduct, that resulted in your probation, suspension, removal, dismissal, or expulsion from the institution?

Yes

No

Have you ever been convicted of a misdemeanor, felony, or other crime?

Yes

No

If you answered yes to either or both questions, please provide the approximate date of each incident and explain the circumstances.

Student Statement

I hereby apply for admission to Rider University and, if admitted, will uphold the standards and spirit of the Code of Academic Integrity and the Student Code of Social Conduct. Rider University reserves the right to rescind admission to any admitted student who violates the Code of Social Conduct prior to starting classes, or to any current Rider student who violates the Code of Social Conduct prior to starting classes, as the Office of Enrollment Management may determine in its sole discretions. For detailed information on Rider’s Code of Academic Integrity, see http://catalog.rider.edu/policies/code-academic-integrity; for Rider’s Student Code of Social Conduct, see www.rider.edu/studentcodeofconduct.

I have reviewed my application and confirm that all information is accurate. Any submission of inaccurate information during any part of the application process that the University believes is material or intentional may result in rejection of my application or my withdrawal or dismissal from the University without refund of any tuition or other monies. In addition, I grant my high school(s) and/or college(s) permission to release my transcript(s) to Rider University.

Checking the box affirms your commitment to Rider University’s Code of Academic Integrity and Code of Social Conduct. Checking the box is also your way of letting us know all the information you’ve provided is factually correct and that you give your high school(s) and college(s) permission to release your transcript(s) to Rider University.

I Agree

Electronic Signature (please type your name)