Computer Software Certificate Application Form Save my progress and resume later | Resume a previously saved form Resume Later In order to be able to resume this form later, please enter your email and choose a password. Your Email: A Password: Confirm Password: Page 1 HIDDEN Interest Area recipients program attribute Please select... CSCT ACTL SLP FLPA CAEN OAX CRIChidden Program of interest If the information listed above is not correct, please begin again. When do you plan to begin this program? Please select... Spring 2018 Summer 2018 Spring 2018 Summer 2018 Spring 2018 Winter 2018 Spring 2018 Summer 2018 Spring 2018 Spring 2018 Spring 2019 Spring 2019 First Name Last Name Email Student email address I verify that this is not an email account that I share with another personFor example, if you and a sibling use the same email address, your accounts may become combined and cause registration delays CountryPlease select... Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos ( Keeling ) Islands Colombia Comoros Congo Cook Islands Costa Rica Côte d ' Ivoire Croatia ( Hrvatska ) Cuba Cyprus Czech Republic Congo ( DRC ) Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands ( Islas Malvinas ) Faroe Islands Fiji Islands Finland France French Guiana French Polynesia French Southern and Antarctic Lands Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Honduras Hong Kong SAR Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao SAR Macedonia, Former Yugoslav Republic of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Samoa San Marino São Tomé and Prìncipe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands Spain Sri Lanka St. Helena St. Kitts and Nevis St. Lucia St. Pierre and Miquelon St. Vincent and the Grenadines Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela Viet Nam Virgin Islands ( British ) Virgin Islands Wallis and Futuna Yemen Zambia Zimbabwe Mailing Street Mailing City Mailing State/ProvincePlease select... Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon AE Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon PALAU Pennsylvania PUERTO RICO Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Mailing Zip/Postal Code Preferred Phone Number Alternate Phone Number Misdemeanor, felony and disciplinary history Have you ever been adjudicated guilty or convicted of a misdemeanor or felony? YesNoNote that you are not required to answer "yes" to this question, or provide an explanation, if the criminal adjudication or conviction has been expunged, sealed, annulled, pardoned, destroyed, erased, impounded, or otherwise required by law or ordered by a court to be kept confidential. Have you ever been found responsible for a disciplinary violation at any educational institution you have attended from the 9th grade (or the international equivalent) forward, whether related to academic misconduct or behavioral misconduct, that resulted in a disciplinary action? YesNoThese actions could include, but are not limited to: probation, suspension, removal, dismissal, or expulsion from the institution. Please provide a detailed description of the incident. Additionally you will need to include the date, time and location of the incident as well as any sanctions made against you. Page 2 I agree to call (800) 639-3210 for an interviewI understand that I will need to contact UVM's Continuing & Distance Education at (800) 639-3210 or (802) 656-2085 to set up a 15 minute phone interview with an advisor before I can be admitted to the program. Do any of the following describe you? 24 years old or older (non-traditional student)VeteranUnderemployedUnemployedTAA Eligible workerNone of these describes meTAA-eligible: You may be TAA-eligible if you are a member of a group of workers who lost their jobs or experienced a reduction in wages as a result of foreign trade. In order to be eligible, a petition must have been filed with the US Department of Labor by or on behalf of your group and the Department must grant the petition and certify your worker group is eligible. English proficiency Is your first language English?YesNo Have you taken the TOEFL?YesNo Did you receive a TOEFL score of 90 or greater? YesNoAn advisor may contact you regarding your English proficiency Short Answer Education Are you also planning on completing the SLPA Certificate Program? YesNoEither in addition to or in lieu of completing the SLP Pre-Masters Track Program Do you have a bachelor's degree?YesNoI am currently enrolled in a bachelor's degree program Educational Details Primary Undergraduate Institution Major/Minor Which of the following best describes your GPA?2.75 or greater 2.5-2.742.0-2.49Less than 2.0 Oaxaca GPA RequirementStudents with a cumulative GPA under a 2.5 and above a 2.0 may seek permission to study abroad by submitting an Academic Eligibility Form (AEF) to their Academic Dean's office for consideration. Contact OIE to make an appointment with a study abroad advisor to discuss eligibility requirements and to pick up an AEF. Why do you want to enroll in this program? Upload Resume Faculty-Led Programs Abroad Student StatusVisiting UndergraduateVisiting Graduate StudentUVM Undergraduate, First year studentUVM Undergraduate, SophomoreUVM Undergraduate, JuniorUVM Undergraduate, SeniorUVM Graduate StudentHigh School StudentOther UVM Student Information UVM Student ID Number For UVM students only (95XXXXXXX) net id For UVM students only (ex: bsmith) GenderFemaleMaleOther Program of interestPlease select... Australia: International Manual Therapy Collaborative with Bond University on the Gold Coast Bahamas: Place-based Ecological Design Belize: Public Health Nursing Belize: Tracking Expedition Belize: Women’s Health and Spirituality - A Cross-Cultural Exploration Boston: Introduction to Sports Management Brazil: Agroecology, Farmer Livelihoods and Ecosystem Services British West Indies: Field Work in Prehistoric Archaeology California: Plant & Soil Science – International Agroecology China: China Today & Summer Internship Program Connecticut: Aesthetics of Live Performance at International Festival of Arts and Ideas Costa Rica: Communities, Conservation & Development Costa Rica: Sustainable Development and Ecotourism Costa Rica: Tropical Forest Ecology Dublin/London: Euro Theater Ecuador: Natural History and Conservation of Galapagos Islands & Tropical Andes Ecuador: Boot Camp in Alpaca Husbandry Ecuador: Reading Grass Paramo - The High Andes Underfoot Ecuador: The Battle over Oil and Biodiversity in Yasuni Ecuador: The Politics of Land Use England: Literary London Finland: Social Work in a Global Context Florida: Elephant Care, Handling, and Management Florida: Walt Disney and American Culture Ghana: Public Health Nursing Hawaii: Environmental Art Iceland: Exploring the Therapeutic Effects of Icelandic Thermal Springs Idaho: Backcountry Ski and Avalanche Education (Level 1) India: Social Work Practice Indonesia: Consciousness, Culture, And Community in Bali Israel: Environment and Sustainability in Arid Ecosystems Italy: Mediterranean Food and Culture – Implications for Health Jamaica: Introduction to Education System and Culture – Rasta Studies Mexico: Exploring Health Care and Culture; Learning Through Immersion in Oaxaca Mexico: Food and Qualitative Methods - Place and Migration in Oaxaca Mississippi: Chasing the Blues Mongolia: Traditional Mongolia Medicine Nepal: Changing Communities -The Forbidden Kingdom of Mustang New Hampshire: Leadership Skills & Mountaineering White Mts New Orleans: Music and Culture New York: The Horse New York: Wilderness Education & Leadership New York: You to the Zoo New Zealand: International Manual Therapy Collaboration Norway: Comparative Health Care - Socialized Health & Welfare System Panama: Marine Mammal Biology Peru: Introduction to Mountaineering Uganda: Public Health Nursing Uganda: Sustainable Development for Public Health Utah: Sundance Festival Oaxaca Semester Abroad Are you a U.S. CitizenYesNo Academic Eligibility I have completed one semester at UVM and will have attained at least sophomore standing by the time I intend to begin this programYesNo I am admitted to UVM as a degree-seeking student and will be enrolled in UVM classes the semester before the planned study abroad term. YesNo I have been academically dismissed or on academic trial or probation.YesNo Have you ever met with the Center for Student Ethics and Standards (CSES) regarding an alleged student conduct incident (for example, alleged alcohol or other drug violation, noise violation, etc.)? YesNo What was the outcome? Please note, you may be required to provide contact information for individuals who are not your relatives/friends for further reference. To be eligible to apply to study abroad for a semester or more, a student must meet eligibility requirements for both UVM as well as for the approved study abroad program Short Answer Questions Academic Track Preference Please select... Food Systems Sustaining CommunitiesWhich academic track would you like to pursue while in Oaxaca? Please list below any courses you have taken in Anthropology, Music, Botany, Geography or Food Systems. 1000 Characters maximum Please list below all Spanish language classes you have taken, one per line. Do you have any health conditions that might prevent you from full participation in this program? (see details below) YesNoThis program includes rigorous physical conditions (heat, humidity, hiking on uneven ground, long bus rides, sleeping on dirt floors, etc.). We do not make acceptance decisions on the basis of physical ability. This is for our information so that we can begin planning ahead for accommodations. Please describe what accommodations you will need. Undergraduate Transcript Show me how to obtain my transcript TranscriptI understand that I will need to submit a transcript to assistant director E. Claire Goodwin (firstname.lastname@example.org) before my application is reviewed. Please describe a difficult group situation that you have been part of and how you handled it. 1000 Characters maximum Please describe what aspects of your personal experience — for instance; relevant coursework, job experiences, previous travel — have prepared you to live and study in a foreign country? 1000 Characters maximum Save my progress and resume later | Resume a previously saved form Need assistance with this form?