Viaa Online Application

Current Classification Freshman Sophomore Junior Senior

Name

Personal Email Address

College Information

Name of College

Address

City

State/Province

Zip/PC

Phone

Personal Information

Permanent Address

City

State/Province

Zip/PC

Phone

College Email

Photo Requirements:

Taken in full face directly facing the camera (all facial features must be visible)
Nothing else than a face is shown (no hands by the face or head)
Head must be straight (not tilted)
No head gear or sunglasses

Photo of Yourself

Drag and drop file here or click to upload

Files must be less than 5 MB. Allowed file types: jpg, jpeg, or png.

Birthdate

Birthplace

Citizenship

Sex Male Female

Major

Minor

Cumulative GPA

Although Dutch language skills are not required for acceptance in Viaa Exchange, it is helpful to know if you have any competency in Dutch. Are you able to understand and speak (read/write) Dutch? If so, how did you acquire this knowledge?

Have you had within the last three years any physical, mental, or emotional condition that has interrupted your studies or employment for more than a month or that has required hospitalization or professional care? Yes No

If yes, please explain

Application Essay Questions

Thinking about the whole program, why would you like to be a Viaa Exchange participant? (200-250 words)

What is the relationship between Viaa Exchange and your vocational and personal goals?

Thinking about the courses, which of the tracks would you like to follow? Western European Culture Education International Business Social Work

What are your reasons for choosing this track (100-150 words)?

Please list all courses you intend to take during this program:

Transcript:

��͹��Ƶstudents: you will not have to submit a transcript.

Non-��͹��Ƶstudents: please send a transcript (official or unofficial) and a list of the courses you are taking at the present time. If this is in digital form, the transcript can be sent to David.Lee@dordt.edu.

Recommendations:

Please submit one faculty and one personal (from student services or pastor) recommendation form. These forms should be submitted to David.Lee@dordt.edu or sent to the address listed at the top of the page.

Application and Deposit Fee Information

All students must submit a $300 application/deposit fee to confirm their place in the program. Please submit all payments to the ��͹��ƵBusiness Office by September 31.

Cash, checks, and ACI online payment are acceptable. For checks, please make it payable to "��͹��Ƶ Off-Campus Programs." For ACI online payment, please email David Lee for specific instructions. Please note that there will be a service fee associated with the ACI online payment.

Statement Of Faith:

��͹��Ƶ(Sioux Center, Iowa) and the Reformed University (Gereformeerde Hogeschool, in Zwolle, The Netherlands) acknowledge, in harmony with the Reformed confessions, that the Scriptures are the Word of God. As God's infallibly and authoritatively inspired revelation, the Bible makes known the way of salvation in Jesus Christ, requires a life of obedience to the Lord, and provides the key to understanding, interpreting, and finding purpose in life.

Both ��͹��Ƶ and the GH aim to establish in Viaa Exchange an environment that is conducive to the academic and spiritual development and welfare of its participants. Viaa Exchange seeks as students men and women who are committed to biblical, Christian principles.

The faculty and students of Viaa Exchange constitute a Christian community in which all must seek to speak the truth in love as brothers and sisters in the Lord. Christ calls upon both faculty and students to encourage one another to lives of faithful obedience to Him. It is expected that students will strive to obey the Lord's teaching in every area of their lives. Students who do not share this Christian commitment may not be in a position to appreciate Viaa Exchange's educational and cultural experiences. Students who come to Viaa Exchange should be fully prepared to abide by Christian standards and the policies of the program as expressed in the student handbook.

I have read the above statement, and as a future member of the Viaa Exchange community, I agree to live within the expectations and policies of the program. Yes No

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