Outbound Exchange Application

  • Personal Details

  • MM slash DD slash YYYY
  • Please select the languages that you know fluently and are comfortable taking upper year University courses taught in those language(s).
  • Exchange Duration

  • Partner Institution Selection

    Please rank your choices:
  • Host Institution Courses

  • If you have selected CONAHEC as one of your choices, please indicate the CONAHEC host institution that you are applying for.
  • If you have selected UMAP as one of your choices, please indicate the UMAP host institution that you are applying for.
  • Host InstitutionCourse Title 
    For each of the host institutions that you have listed in your application, please list 5 courses at each host institution that you are interested in taking. Links to courses can be found at https://brocku.ca/international/mobility/outbound/partner-institutions/ If you need help in finding the course list, please contact us at intlmobility@brocku.ca Note: You do not need to list courses for Ontario/Rhône-Alpes Exchange Program (ORA), National Student Exchange (NSE), and Killam Fellowships Program on this application
  • Contact Details

  • Linking Applications

  • Student NameStudent ID Number 
    If you are interested in linking your application with another applicant, please indicate the name and student number of the other applicant. All applicants that are linking together much list each other on their application and rank the choices in the same order. Those applications that are missing the student name and student ID number of the other linked individuals, will not be linked together and will be considered individually. Note: Linking applications does not guarantee placement together. However, linked applicants may be limited to where space is available to accommodate the number of applicants linked together.
  • Student Declaration

  • Required Supplemental Documentation

  • Accepted file types: pdf, Max. file size: 29 MB.
  • Accepted file types: pdf, Max. file size: 29 MB.
    Please visit your Academic Advisor to obtain a completed Program Plan
  • Privacy Statement

    Brock University protects your privacy and your personal information. The personal information requested on this form is collected under the authority of The Brock University Act, 1964, and in accordance with the Freedom of Information and Protection of Privacy Act (FIPPA) for the administration of the University and its programs and services. Direct any questions about this collection to Brock International Services, at exchanges@brocku.ca
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