Beloit College Exchange Student Nomination Form

Thank you for nominating an exchange student for enrollment at Beloit College. This form is intended for the use of program advisors at universities with an exchange partnership with Beloit College.

Please provide as much information as you are able. After you submit this form, the student will be emailed login information to complete the application for admission.

Prospective Student Information

*Indicates a required field

Student's Email Address*

First/Given Name*

Middle Name

Last/Family Name*

Student's Birthdate*

Exchange Information

Term the student will begin study at Beloit College:*

The student's home university:*

Length of stay at Beloit College:*

Nominator's Information

Name

Email Address

Academic Credentials

If you are able, please provide information about your student's academic credentials. If you do not have this information, the student will be asked to provide it as part of the application process.

College Transcript

Verification of English Proficiency

For students whose native language is not English, we require test scores or verification from the sending institution that the student is prepared for college-level study in English. If you have knowledge of the student's proficiency in English, please upload a letter or certificate to explain the student's background in English language study.