SECTION IV: INSTITUTIONAL CERTIFICATION:  TO BE COMPLETED BY YOUR ADVISOR OR ANOTHER APPROPRIATE ACADEMIC OFFICIAL

Please fill in all the scores that apply:

GPA ______________ SAT ______________ GRE _____________ ACT _____________

CLAST ____________ GMAT______________ TOEFL ___________

(  ) I recommend the student for a waiver.

(  ) I do not recommend the student for a waiver.

I certify that I have reviewed the student's academic record and that the information thus provided is correct.  In addition, I certify that the number of credit hours requested by the student for exemption is correct.

____________________________________________________________________________________________
(name, please print)                                               (title)

____________________________________________________________________________________________
(signature)                                                        (date)

____________________________________________________________________________________________
(department, university or college)                                (phone number)

____________________________________________________________________________________________
(street address/city/state or country/zip code)


SECTION V:

Please attach a Letter of Recommendation from a professor who is familiar with your work or from a university official whose role is clearly indicated.


Please send complete application form to the appropriate address:
 
Upper Division: Lower Division:
Juniors, Seniors & Graduate Students Freshmen & Sophomores
Dr. Henry C.K. Chen Ms. Francine Arrington
Florida China Linkage Institute Florida China Linkage Institute
Bldg 53  Rm 109 Brevard Community College
The University of West Florida 1519 Clearlake Road
11000 University Parkway Cocoa, FL 32922
Pensacola, FL  32514-5750