FORECAST

Focus on Results: Enhancing

Capacity
Across Sectors in Transition

ECAST CHANG
E APPLICATION
FORECAST EXCHANGE APPLICATION
FORECAST EXCHANGE APPLICATION

2011-2012
FORECAST EXCHANGE
UNDERGRADUATE PROGRAM

APPLICATION DEADLINE: 5:00 PM, JANUARY 16,

2008

APPLICATION DEADLINE: 5:00 PM, JANUARY 14,

2011

World Learning, Inc.

Kralja Milana 4A/27 · 11000 Belgrade · Serbia · Tel/Fax: (381 11) 361-2462 , 362-6092
 FORECAST Exchange Program 2011-2012
Application form

FORECAST EXCHANGE PROGRAM UNDERGRADUATE APPLICATION 2011/2012

Please attach your

most recent
photograph here.

PERSONAL INFORMATION

1. Full legal name

First Name: Father’s name:
Last name:

2. Gender
Male Female

3. Current address
Street: Number:
City: Zip code:

4. Current telephone: Mobile:

5. Permanent address (from your passport)

Street: Number:
City: Zip code:

6. Email address:

7. Date of birth (month/date/year): 8. Place of birth:

9. Citizenship: 10. JMBG:

11. Parents’ or guardians’ information

Name: Street and number:
City: Zip code:
Home telephone (with area code): Work telephone:

12. Passport
Passport number:
Date of Issue: Valid until:
Issuing city and country:

EDUCATIONAL INFORMATION
13. Are you currently enrolled as a full-time student in an institution of higher education? Yes No

14. Name of the University:

Name of the Faculty:
Address of the Faculty:
Department:
Dean’s name and telephone number:
Please indicate your current year of study:
How many years do your studies last?

This application is free and may be reproduced. 2

Applications are also available via the Internet at http://www.worldlearning.org.rs/
Deadline: 5:00 PM, Thursday January 14th, 2011
 FORECAST Exchange Program 2011-2012
Application form

15. Please list courses that you would like to take within your major field of study (be as specific as possible):

16. Please list courses that you would like to take outside your major field of study:

17. Please list all universities you have attended:

Dates of Attendance Date Degree Received or

University and City Department
From: mm/yy To: mm/yy expected mm/yy

Please list all secondary schools you have attended:

Dates of Attendance Date Degree Received

School name and City Major field of study
From: mm/yy To: mm/yy mm/yy

Please list any other academic or non-formal education program you have attended:

Dates of Attendance Date of Program

Institution and City Program
From: mm/yy To: mm/yy Completion mm/yy

18. Honors and awards received:

19. English study

How many years altogether have you studied English in elementary and secondary school?
Did you study English at a special English school or an institute? If yes, at which? How many years?

Have you had private tutoring in English? How many years?

20. Have you taken the official Test of English as a Foreign Language (TOEFL)? Yes No
If yes,
Type (check one): Date Test Taken: Location Score
-paper-based
-computer-based

This application is free and may be reproduced. 3

Applications are also available via the Internet at http://www.worldlearning.org.rs/
Deadline: 5:00 PM, Thursday January 14th, 2011
 FORECAST Exchange Program 2011-2012
Application form

-internet-based

21. Have you taken an official Cambridge Test? Yes No

If yes,
Which (check which ones): Date Test Taken: Location Score
-First Certificate
-Advanced
-Proficiency

22. Please provide information regarding education received in languages (Including your native language) other then
English:
Language Number of years Location
Native language
Second language
Third language

23. Have you ever studied in the United States at a high school? Yes No
If yes, when and where?
What were the circumstances of the study program? (scholarship, self-funded)

24. Have you ever applied to an US College or University? If Yes, please indicate the name and institution and the type
of program for which you applied (for example, “4-year degree program at Grinnell College”).

25. Have you ever studied in the United States at an undergraduate institution? Yes No
If yes, when and where?
What were the circumstances of the study program? (scholarship, self-funded)

26. Other than any high school or university exchange in the US as described in # 23 or #25 have you ever been to the
United States (please indicate the dates, locations and type of visa).

27. Are you currently employed? Yes No

If yes, please write name of the organization:
Job title:
How long have you worked there?
Major duties:

28. Do you currently do any volunteer work or actively participate in some NGO? Yes No
If yes, please describe:

How long have you volunteered there?

Major duties:

This application is free and may be reproduced. 4

Applications are also available via the Internet at http://www.worldlearning.org.rs/
Deadline: 5:00 PM, Thursday January 14th, 2011
 FORECAST Exchange Program 2011-2012
Application form

PLACEMENT INFORMATION
The following information will not be considered in the evaluation of your application or selection process. It will
assist in your placement at a university and with a roommate, should you be selected to participate, as well as other
logistical needs.
29. Do you smoke? Yes No Do you mind living with someone who smokes? Yes No
30. What kind of music do you like?
31. What time do you usually go to bed?
32. What time do you usually get up?
33. How would you describe yourself (neat, messy, noisy, quiet, etc.)? :

34. What kind of university clubs or extracurricular activities would you like to participate in while at a U.S. university?
:

35. Please list your hobbies and interests:

36. Do you have any allergies? Yes No

If yes, what? :

37. Do you have any food restrictions? Yes No

If yes, what?

38. How did you hear about the FORECAST Exchange program? Please, specify.
US Embassy Presentation (where):
Faculty Television:
Radio: Newspaper:
Web page: Other:

PERSONAL STATEMENTS
Please answer all three questions in clear concise English. Statements should be done on a computer or typewritten.
You may attach additional sheets of paper if you need more space to answer questions 39, 40, and 41.

39. What are your academic goals for study in the US?

This application is free and may be reproduced. 5

Applications are also available via the Internet at http://www.worldlearning.org.rs/
Deadline: 5:00 PM, Thursday January 14th, 2011
 FORECAST Exchange Program 2011-2012
Application form

40. What have you experienced in the past that has prepared you for living in the United States for one year?

41. What do you think you can contribute to this program and to university life in the United States?

42. Please answer only one of the following questions. Your statement should be at least one typewritten
page in length, but no longer than two pages. Please attach an additional sheet of paper. This is a very
important part of the evaluation process.

A. In your opinion, what is the greatest challenge your generation will face? What ideas do you have for
dealing with this issue?
OR
B. Why do you think community service is a required part of the FORECAST Exchange Program? What do
you believe can be achieved? Do you have any experience with volunteering? Please Describe.
OR
C. You are a journalist and can have an exclusive two-hour interview with any person (living or dead) of
your choice. Who would it be and why? What would you ask him or her? (The person does not have to
be famous.)

CERTIFICATION

This application is free and may be reproduced. 6

Applications are also available via the Internet at http://www.worldlearning.org.rs/
Deadline: 5:00 PM, Thursday January 14th, 2011
 FORECAST Exchange Program 2011-2012
Application form

I certify that the information given in this application is complete and accurate to the best of my knowledge. I also
certify that I completed the application myself, without the aid or assistance of any individual or group. I
understand that submitting false or misleading information will result in my exclusion or dismissal from the
program. If selected, I agree to comply with the rules and regulations of the FORECAST Exchange Program as set
forth by the United States Agency for International Development; my host university; World Learning, Inc.; and the
J-1 Visa. If selected, I understand and agree that I will return to my home country immediately upon completion of
my program sponsored and funded by USAID.

Signature: __________________________________ Date: ______________

This application is free and may be reproduced. 7

Applications are also available via the Internet at http://www.worldlearning.org.rs/
Deadline: 5:00 PM, Thursday January 14th, 2011
 FORECAST Exchange Program 2011-2012
Application form

Student’s name: ____________________________________________

ACADEMIC RECOMMENDATION FORM

To be completed by a University Professor familiar with the student’s work in his or her major field of study.
Recommendations should not be from family members or friends.

Instructions: Your statement will be given considerable importance by the American universities and colleges reviewing the
student’s application, and therefore should be as complete and detailed as possible. Please, include your candid evaluation of the
student’s ability to participate in such an exchange program by indicating:
a) in what context you know the student;
b) how you would describe the mentality and adaptability of the student in difficult situations;
c) the qualities that would make the student a successful exchange student including their interaction with others.

This recommendation should be typewritten or clearly printed in English, if possible. If not in English, an accurate translation
must be attached. Your comments can be continued on the reverse side or a separate page.

Recommended by:
Place of Employment:
Address:
Telephone:
Signature:
Date:

This application is free and may be reproduced. 8

Applications are also available via the Internet at http://www.worldlearning.org.rs/
Deadline: 5:00 PM, Thursday January 14th, 2011
 FORECAST Exchange Program 2011-2012
Application form

Student’s name: ____________________________________________

SECOND RECOMMENDATION FORM

To be completed by a Professor familiar with the student’s work in his or her major field of study, OR from an
employer, former exchange program coordinator or host family, coach, or any supervisor or authority familiar with the
student’s extra curricular activities. Recommendations should not be from family members or friends.

Instructions: Your statement will be given considerable importance by the American universities and colleges reviewing the
student’s application, and therefore should be as complete and detailed as possible. Please, include your candid evaluation of the
student’s ability to participate in such an exchange program by indicating:
d) in what context you know the student;
e) how you would describe the mentality and adaptability of the student in difficult situations;
f) the qualities that would make the student a successful exchange student including their interaction with others.

This recommendation should be typewritten or clearly printed in English, if possible. If not in English, an accurate translation
must be attached. Your comments can be continued on the reverse side or a separate page.

Recommended by:
Place of Employment:
Address:
Telephone:
Signature:
Date:

This application is free and may be reproduced. 9

Applications are also available via the Internet at http://www.worldlearning.org.rs/
Deadline: 5:00 PM, Thursday January 14th, 2011