SECRETARIA DE PLANEJAMENTO E DESENVOLVIMENTO INSTITUCIONAL – SEPLAN
ASSESSORIA DE RELAÇÕES INTERNACIONAIS
OFFICE OF INTERNATIONAL AFFAIRS
APPLICATION FORM
FOREIGN STUDENTS
(PLEASE PRINT)
( ) Exchange Student
Attach Photo
Here
( ) Transfer Student
1. PERSONAL DETAILS
Full Name: ________________________________________________________________________
Date of Birth (DD/MM/YYYY): ___/ ___ /___
Gender: ( ) Male ( ) Female
City and Country of Birth: ____________________________________________________________
Nationality: _______________________ Marital Status: ___________________________________
Passport Number: _______________________________ Expiration Date: ___/ ___ /___
Address: _________________________________________________________________________
City: _________________________________ State: _____________________________________
Postal Code: ______________________ Country: ________________________________________
Telephone: _____________________________ Fax: _____________________________________
E-mail: __________________________________________________________________________
Do you have any medical condition / disabilities / special needs? ( ) No ( ) Yes
Please describe: ___________________________________________________________________
Contact information in case of emergency:
Name: ___________________________________________________________________________
Address: _________________________________________________________________________
Telephone: _________________________ Relationship: ___________________________________
2. ACADEMIC INFORMATION
Course of interest at PUC Minas: ______________________________________________________
_________________________________________________________________________________
Intended period for the exchange program: From: __________________ To: ________________
Home institution: __________________________________________________________________
Institution full address: _____________________________________________________________
Av. Dom José Gaspar, 500 - Prédio 43 – Sala 608 - CEP: 30535-901 - Belo Horizonte
Minas Gerais - Brasil - Phone: +55 (31) 3319-4245 - Fax: +55 (31) 3319-4394 [email protected] www.pucminas.br/ari
SECRETARIA DE PLANEJAMENTO E DESENVOLVIMENTO INSTITUCIONAL – SEPLAN
ASSESSORIA DE RELAÇÕES INTERNACIONAIS
OFFICE OF INTERNATIONAL AFFAIRS
Name of the current study program at home institution: ___________________________________
Number of terms already attended at home institution: ____________________________________
3. LANGUAGE KNOWLEDGE
Knowledge of Portuguese: ( ) None ( ) Basic ( ) Intermediate ( ) Advanced
Knowledge of Spanish: ( ) None ( ) Basic ( ) Intermediate ( ) Advanced
Will you need instruction of Portuguese as a Foreign Language?* ( ) No ( ) Yes
* Please note that we charge for this service.
4. HOUSING
PUC Minas does not have student housing or accommodation. However, we can suggest some
options. The choice of accommodation as well as its costs are full responsibility of the student and
must be paid directly to the supplier of the service.
Would you like PUC Minas to help you find accommodation? ( ) Yes ( ) No
5. ENCLOSE COPY OF THE FOLLOWING DOCUMENTS AND SEND US BY POST MAIL:
•
Transcript of grades and subjects taken in home University (translated to Portuguese and
certified by home institution) and Diploma (when necessary);
•
Letter of intentions explaining why you would like to study at PUC Minas;
•
Copy of passport main pages;
•
Financial resources declaration properly completed and signed (attached);
•
Description of subjects the student wants to take at PUC Minas (attached).
Only Transferring students must include these documents:
•
High School Diploma officially translated to Portuguese and certified by home institution;
•
Amendment of subjects taken in home University officially translated to Portuguese and
certified by home institution;
•
Original Guide of Transfer properly completed, stamped and signed by home institution
(attached).
Av. Dom José Gaspar, 500 - Prédio 43 – Sala 608 - CEP: 30535-901 - Belo Horizonte
Minas Gerais - Brasil - Phone: +55 (31) 3319-4245 - Fax: +55 (31) 3319-4394 [email protected] www.pucminas.br/ari
SECRETARIA DE PLANEJAMENTO E DESENVOLVIMENTO INSTITUCIONAL – SEPLAN
ASSESSORIA DE RELAÇÕES INTERNACIONAIS
OFFICE OF INTERNATIONAL AFFAIRS
We will not accept applications without the complete documentation.
IMPORTANT:
•
To study in Brazil you must have a student visa, which should be requested at the Brazilian
diplomatic office in your home country.
•
PUC Minas strongly recommends that foreign students contract an international health
insurance that covers the expenses of health/emergency during the stay in Brazil.
•
Once in Brazil, you will have a 30 day period to go to the Federal Police and register
yourself. Also, please come to our Office of International Affairs as soon as you can and
bring your passport, proof of health insurance, air ticket and one photo.
•
I agree that I have to send all my flight details to Brazil at least 72 hours before my arrival.
Otherwise, I understand that PUC Minas is exempted of any liability involving my arrival,
such as airport transfer, accommodation reservation, etc
I declare that the information given above is true.
Signature: __________________________ Place: _____________________ Date: ___/___/___
Av. Dom José Gaspar, 500 - Prédio 43 – Sala 608 - CEP: 30535-901 - Belo Horizonte
Minas Gerais - Brasil - Phone: +55 (31) 3319-4245 - Fax: +55 (31) 3319-4394 [email protected] www.pucminas.br/ari
SECRETARIA DE PLANEJAMENTO E DESENVOLVIMENTO INSTITUCIONAL – SEPLAN
ASSESSORIA DE RELAÇÕES INTERNACIONAIS
OFFICE OF INTERNATIONAL AFFAIRS
FINANCIAL RESOURCES DECLARATION
I, _________________________________________, citizen of _________________________,
passport number ______________________ expedition date ___/___/___ declare having sufficient
funds to cover my expenses with food, housing, transportation, school material and others, during
my stay in Brazil, as well as tuition and registration fees when applicable, from ___/___/___ to
___/___/___, period in which I will be enrolled at PUC Minas attending the course ____________
________________________________________________________________________________.
Signature: __________________________ Place: ______________________ Date: ___/___/___
Av. Dom José Gaspar, 500 - Prédio 43 – Sala 608 - CEP: 30535-901 - Belo Horizonte
Minas Gerais - Brasil - Phone: +55 (31) 3319-4245 - Fax: +55 (31) 3319-4394 [email protected] www.pucminas.br/ari
SECRETARIA DE PLANEJAMENTO E DESENVOLVIMENTO INSTITUCIONAL – SEPLAN
ASSESSORIA DE RELAÇÕES INTERNACIONAIS
OFFICE OF INTERNATIONAL AFFAIRS
DESCRIPTION OF THE SUBJECTS THE STUDENT WANTS TO ENROLL:
(PLEASE READ CAREFULLY AND PRINT THE LIST OF DISCIPLINES BELOW)
The list of all courses available at PUC Minas can be found at: http://www.pucminas.br,
including which subjects are taught in each course. Please indicate the disciplines you are
interested to enroll at PUC Minas. There are some important points to remember:
1) The average number of subjects the students from PUC Minas take is six per
semester. Thus, so we strongly advise you not to enroll more than this number of classes in
order to better guarantee successful academic results. Choosing the subjects does not mean
you will be able to register to them so we also ask you to indicate three extra subjects you
would like to take while in PUC Minas;
2) The indicated faculty/department will study your list of disciplines and inform it there
is any issues may obstruct your registration. Possible issues are: incompatibility of schedules
among the subjects you had indicated, full classes and/or existence of pre-requisites;
3) Your registration will only be accomplished when you arrive at PUC Minas at the
specific date informed by the Office of International Affairs.
Faculty / Department
Subject
Semester
Morning, Afternoon
or Night classes
1
2
3
4
5
6
Signature: _______________________ Place: ________________ Date: ___/___/___
Av. Dom José Gaspar, 500 - Prédio 43 – Sala 608 - CEP: 30535-901 - Belo Horizonte
Minas Gerais - Brasil - Phone: +55 (31) 3319-4245 - Fax: +55 (31) 3319-4394 [email protected] www.pucminas.br/ari