Quito |
Guayaquil |
Loja |
En Línea

+(593-2) 2985600 |
+(593-2) 5000600 |
0983885624 |
admisiones@uide.edu.ec

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Formulario de aplicación al intercambio en la Universidad Internacional del Ecuador

Application - Form

PERSONAL DATA

Date of application:

Last names:

First and second name:

Birth Date:

Your Age:

Passport number:

Nacionality:

Phone number (including country code):

E-mail:

Do you count with a legally recognized disability?

Yes No

Emergency contact

Relation to student:

Last Name:

First Name:

Home Address:

Country:

Phone number (including country code):

E-mail:

Academic Information

Application for:

Fall Semester Spring Semester

Year:

Home University:

Country:

Major:

Nr. of semesters you will have finished when starting your exchange:

Do you want to participate in our intensive Spanish Course?:

Yes No

Level of Spanish:

Low Intermediate Advanced

Add a certificate (if existent):

Level of English:

Low Intermediate Advanced

Add a certificate (if existent):

Other Language & Level:

Low Intermediate Advanced

Health Insurance - mandatory

I request Bluecard from 3 USD per day I will take care of health insurance myself and I provide proof upon arrival

Buddy Programme

I want to take part in the Buddy program:

Yes No

I prefer my Buddy to be:

Male Female Doesn't matter

¿How did you learn of UIDE?

Home university international office Study abroad agency Other, please specify

Main reasons for exchange at UIDE:

Opportunity to travel to in the Region Opportunity to travel to Galapagos Academic offerings by UIDE Improve Spanish UIDE's sport offering Other, please specify

Documents that you must attach to this application

Color copy of passport:

Digital photo, ID or passport size:

Academic record:

Approval letter with the list of subjects you plan to take at UIDE and list of similar subjects at home university - Minimum 3 - Download here ⇩

Medical Form Download here ⇩

Accommodation Plan Download here ⇩

I declare that the information provided in this application is correct and complete

Matriz Quito

Av. Simón Bolívar y Av. Jorge Fernández

(593-2) 2985-600 / (593-2)5000-600

Admisiones: 0983885624

Guayaquil

Av. Juan Tanca Marengo Km. 2.5 y Las Aguas

(593-4) 3710135

Admisiones: 0983885624

Loja

Av. Manuel Agustín Aguirre 1275 y Maximiliano Rodríguez (esquina)

(593-7) 2584-567

(593-7) 2563336

Admisiones: 0983885624

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