To apply to the UC Exchange Program, fill in the following form. Fields marked with an asterisk * are required. COUNTRY, AGREEMENT AND EXCHANGE PROGRAM Please indicate country and name of your Home University: Country (*) Name of Home University (*) Exchange program (*) Select the exchange program Email (*) Confirm email (*) If your Home University does not appear in the list, please conctact exchange@uc.cl. PERIOD OF EXCHANGE Indicate how many semesters you are applying to (*): For 1 semester beginning march 2025 For 2 semesters beginning march 2025 For 1 semester beginning august 2024 For 2 semesters beginning august 2024 Other: select month and year of beginning and finish. Beginning (Month) January February March April May June July August September October November December - (Year)20252024 Finish (Month) January February March April May June July August September October November December - (Year)20252024 PERSONAL DATA Please, fill in the following fields: Applicant's photo (*) Cargando Last Name (*) Name (*) Date of Birth (*) dd mm yyyy Gender (*) (Gender) Male Female Passport Number (*) Citizenship (*) Native Language (*) (Native language) Abkhazian Afarense Afrikaans Albanian Amharic Arabic Armenian Assamese Aymara Azerbaijani Bashkir Basque Bengali Bhutani Bihari Bislama Breton Bulgarian Burmese Byelorussian Cambodian Catalan Chinese Cornish Corsican Croatian Czech Danish Dutch English Esperanto Estonian Faeroese Farsi Fiji Finnish French Frisian Galician Georgian German Greek Greenlandic Guarani Gujarati Hausa Hebrew Hindi Hungarian Icelandic Indonesian Interlingua Interlingue Inuktitut Inupiak Irish Italian Japanese Javanese Kannada Kashmiri Kazakh Kirghiz Kirundi Kiyarwanda Korean Kurdish Laothian Latin Latvian (Lettish) Lingala Lithuanian Luxemburgish Macedonian Malagasy Malay Malayalam Maltese Manx Gaelic Maori Marathi Moldavian Mongolian Nauru Nepali Norwegian Occitan Oriya Oromo Pashto Polish Portuguese Punjabi Quechua Rhaeto-Romance Romanian Russian Samoan Sangho Sanskrit Scots Gaelic Serbian Serbo-Croatian Sesotho Setswana Shona Sindhi Singhalese Siswati Slovak Slovenian Somali Spanish Sudanese Swahili Swedish Tagalog Tajik Tamil Tatar Tegulu Thai Tibetan Tigrinya Tonga Tsonga Turkish Turkmen Twi Ukranian Urdu Uzbek Vietnamese Volapuk Welsh Wolof Xhosa Yiddish Yoruba Zulu Permanent Address (*) Street Number Apartment City Country Postal Code Telephone (*)  Indicate country and city code. Home University Contact: First name Last name Title Email Phone Emergency Contact: The emergency contact must be different from the one entered in the field for home University Contact. First name Last name Email Phone ACADEMIC BACKGROUND Please indicate the name of the Degree Program you are currently enrolled at your Home University. Degree Program (*) (*) Undergraduate Postgraduate Years Attended (*) Main Field of Study at UC (*) (Main field of study at UC) Bachelor Chemistry And Pharmacy Faculty Of Agriculture And Forestry Engineering Faculty Of Biological Sciences Faculty Of Chemistry Faculty Of Communications Faculty Of Economics And Business Administration Faculty Of Education Faculty Of Law Faculty Of Letters Faculty Of Mathematics Faculty Of Theology Institute Of Aesthetics Institute Of Astrophysics Institute Of Geography Institute Of History Institute Of Music Institute Of Philosophy Institute Of Physics Institute Of Political Science Institute Of Sociology Institute Of Urban Studies Mobility And Exchange School Of Architecture School Of Civil Construction School Of Civil Engineering School Of Dentistry School Of Design School Of Drama School Of Fine Arts School Of Health Sciences School Of Medicine School Of Nursing School Of Psychology School Of Social Work PROPOSED STUDY PLAN This is not a course registration form. You will not automatically be enrolled in any of the courses you list below. Course registration is done upon arrival, for those courses you meet the prerequisites for (if any). Though UC cannot guarantee enrollment in any course, we will do our best to satisfy your proposed study plan. Courses can be found at: MARCH-JULY (First Semester UC)  VER AQUÍ Course Code (*) Course name Credits Needed to complete your degree? No Yes No Yes No Yes No Yes No Yes No Yes AUGUST-DECEMBER (Second Semester UC)  VER AQUÍ Course Code (*) Course name Credits Needed to complete your degree? No Yes No Yes No Yes No Yes No Yes No Yes Required files for applying: Please remember, when submitting your online application form, the documents from this list will be automatically uploaded to your application folder. COMMENTS If you have any comments about your application, please write it below (up to 100 characters): DECLARATION I hereby declare that all the information on this application form is true and complete. I understand that Pontificia Universidad Católica de Chile may vary or change any decision regarding my admission or enrollment made on the basis of incorrect or incomplete information provided by me. I hereby authorize Pontificia Universidad Católica de Chile to request extra information to my Home University if it is necessary to support my application. If you have correctly filled in all required fields (marked with *), click the "Submit" button to send your information. If not, click the "Reset" button to fill in the form again or click the "Quit" button to leave the application without submitting your information.