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NSE Application Form: Outgoing Texas State Students

Application for Exchange


Fall 2018 & Spring 2019 application deadline:

May (for fall 2018)*

October (for spring 2019)*


*Varies by campus.  Visit UAC #144 for the current list of available campuses.

Items to include with this application:

  • Nonrefundable Application Fee: $200 (bring cash, check, or money order to the NSE office (UAC 144) after completing the application). Checks and money orders are payable to "National Student Exchange."  No credit cards are accepted.
  • Application signature (sign in the NSE office with payment.)
  • Unofficial Transcript (attach with this application or bring to the NSE office.)
  • Reference Form (attach with the application, send via email, or deliver to the NSE office.)  

Download the NSE Reference Form:
Click here to download file (opens in new window)

NOTE: The application is not complete until the $200 fee is paid and the application is signed in the NSE office (UAC 144).

Prior to completing this application, read the NSE eligibility requirements, policies, and procedures. These can be found in the NSE Directory online (.pdf) or in person at the NSE office.

In the event that your browser will not allow you to complete this application online, you can print a hard copy here: NSE Application for Exchange (.docx download)


NSE Office:
Lisa Chrans, NSE Coordinator
Texas State University
University College
Undergraduate Academic Center (UAC), Room 144
601 University Drive
San Marcos, TX 78666

Contact Information

Demographic Information

Are you currently living in on-campus housing? *
Are you a resident of the state/province in which your home campus is located? *
Country of Citizenship *
Citizenship: Residency Status *
Primary reason(s) for exchange (check all that are applicable) *

Scholastic and Other Information

Will you need courses in your major while on exchange? *
Are you requesting financial aid (Plan A) from the host campus? *
Are you currently receiving financial aid? *

Note: for assistance with financial aid (Plan A & B) you can meet with the Financial Aid & Scholarships Office, JC Kellam, room 240.



Where do you plan to reside at the exchange school? *
Marital Status *
If married, will you be accompanied on exchange by your spouse?
If you have children, will you be accompanied by them on exchange?
Do you wish to go on exchange with other students? *

Exchange Requests

In the spaces below, list in priority order the institutions you wish to attend and the tuition payment plan you request. There are spaces alotted for up to five institutions.

Tuition Payment Plans:
Plan A: You pay in-state/resident tuition/fees to your host campus
Plan B: You pay your normal tuition/fees to Texas State (charge 15 credit hours)

Note: Some campuses will only accept Plan A payment because of their popularity.   Financial Aid would be obtained from the HOST campus.  Visit your NSE Coordinator to determine your best payment plan option for placement.



Tuition Payment Plan
Tuition Payment Plan
Tuition Payment Plan
Tuition Payment Plan
Tuition Payment Plan

Educational Background

Do you have any incomplete grades, missing grades, or other deficiencies (e.g., failure to complete required proficiency tests)? *

Special Needs or Circumstances

If you have a physical condition for which accessible, on-campus housing or classroom accommodation might be needed; a documented disability which may require academic accommodation (e.g., note-takers, taped texts); a medical condition which might require immediate attention during exchange; or a condition which might affect emotional or mental well-being during exchange, you are encouraged to identify your needs by attaching a separate page indicating the nature and extent of your circumstances and arrangements which are currently being made for you on this campus. Also indicate whether or not we may contact your requested host campuses at this time. NSE does not discriminate on the basis of special needs. Rather, your disclosure at this stage of the application process is invited in order to assist you in identifying a placement site which can provide reasonable accommodation of your needs. Following placement, it is your responsibility to consult the host campus coordinator and ADA officer to determine the deadlines by which you must submit written, current, and professionally documented information as required by your host campus.

Other Considerations

Have you ever been convicted of a felony? *
Are you on probation or parole, or do you have any legal judgments pending against you either inside or outside campus? *
Are you currently under any campus disciplinary action for violation of codes of academic or student conduct? *
Do you have any outstanding indebtedness to the campus? *

Language Proficiency

What is your native language? *

If you plan to exchange to a campus in Puerto Rico or Quebec, you must be certified for proficiency in Spanish or French. If English is not your first language, for all other NSE locations you must demonstrate proficiency in English. Language proficiency must be determined prior to placement.  The language proficiency form is attached below and must be included with the application. 

Language Proficiency Evaluation (.doc)

Emergency Contact

Release of Information

The collection, retention, and dissemination of your records and information about you are subject to federal regulation under the Family Education Rights and Privacy Act of 1974. You are responsible for specifying the persons or agents who have access to your records. Therefore, it is necessary that we obtain your permission to request and release information pertinent to your exchange. Please read the following statements. You will sign an official release at the NSE Office after completion of your application.

  • I understand that it will be necessary for my campus to obtain certain information about my academic and non-academic record in order to: 1) ascertain my eligibility and suitability for an exchange through NSE, and 2) facilitate my exchange after it is arranged. I hereby grant permission to the NSE coordinator and/or designee to obtain information that is appropriate to my application and participation in the exchange including, but not limited to, letters of recommendation, permanent academic records and transcripts, conduct, fiscal records, medical records, all for the purposes of exchange placement and participation, continuation, or termination.
  • I give permission to the NSE coordinator and/or designee to contact appropriate personnel in order to verify that I am under no disciplinary action for violation of codes of academic and student conduct and/or that I have no judicial cases pending which would invalidate my eligibility for exchange.
  • I hereby release information contained in my application, letters of recommendation, transcripts, and other information required as part of the NSE application process to my home NSE Coordinator, designee, and those individuals/committees responsible for reviewing and approving my application for exchange participation.
  • I hereby give permission for the information contained in my application to be submitted on NSE’s restricted, Web-based placement site for the use of the home and host campuses and the NSE Central Office in placement and record-keeping processes.
  • I hereby release information contained in my application, letters of recommendation, transcripts, and other information required as part of the NSE application process to the National Student Exchange Central Office and to the NSE host institution at which I am placed.


You will sign an official statement at the NSE Office after completion of your application. It will attest to the following:

I have read and fully understand information on eligibility, policy, and procedures presented in the NSE Directory (found in the NSE office & the NSE website).

I further understand that:

  • participating in the National Student Exchange is a privilege and not a right.
  • submitting an application is not a guarantee of application acceptance or placement.
  • failure to maintain (prior to and during my exchange) all of the eligibility requirements of the program (including maintaining a 2.5 cumulative GPA) will result in the cancellation of my exchange.
  • failure to pay all financial obligations to my home and host campuses will result in the cancellation of my exchange.
  • I also understand that until financial obligations are met, my home and host campuses will not release transcripts; and I will not be permitted to re-enroll at, or graduate from, my home campus.
  • Texas State and my host institution will require completion of specific steps prior to exchange, and I agree to complete these requirements in a timely and responsible manner or forfeit my privilege to exchange. This includes completing an advising agreement form prior to exchange.

If accepted for participation in the National Student Exchange, I agree to adhere to all the rules and regulations of both my home and host institutions. Failure to do so will result in the cancellation of my exchange.

I affirm that all information is complete, accurate, and true to the best of my knowledge. I acknowledge that I am signing freely, voluntarily, and under no compulsion.