OFFICE USE ONLY: amex/amfee

APPLICATION FORM FOR
Incoming Study Abroad
Please tick the relevant box to confirm the programme you are applying for:
Study abroad type
Please
tick √
American Visiting (tuition fee - partner
university)
American Exchange (no tuition fee partner university)
EU or Overseas Visiting
(partner and non-partner universities)
Do I need to apply for University Accommodation?
NO: If you have applied/been nominated before the stated
deadline, you will automatically be allocated a room in
catered accommodation.
YES: You need to complete the Housing Application Form
and submit to [email protected]
Erasmus (partner university students only)
Part A Personal details
Title
First name(s)
Surname
Gender Male / Female
Previous surname (if applicable)
Date of Birth
_ _ /_ _ / ____ (day/month/year)
Contact Address (all written communication will be sent to this address)
Permanent/Home Address (if different)
Daytime Telephone Number
Mobile
Email (please write clearly)
Ethnic origin (Please tick √)
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Nationality
White
Irish Traveller
Country of birth
Black Caribbean
Black African
Other Black background
Asian (Indian)
Country of Domicile
Application Form – The University of Winchester
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Asian (Pakistani)
Asian (Bangladeshi)
Chinese
Other Asian Background
Mixed – White & Black Caribbean
Mixed – White & Black African
Mixed – White & Asian
Disabilities
The University of Winchester welcomes applications from
students with disabilities and considers them on the same
academic grounds as those from other students.
Disabled non-UK students who are not eligible for funding from
their home countries to support them during their studies are
strongly advised to make contact with the Disability Team
([email protected]) before accepting any offer to
study at The University of Winchester.
Other Mixed backgound
Other
All students requiring additional support should email evidence
of their disability and a summary of the type of support they
require. This may include evidence of a mental health
condition, dyslexia or other disability. The Disability Team will
consider each case individually and advise what support the
institution can put in place.
Do you have a disability/require support? ◌ Yes ◌ No
If yes, please give brief details of support required here and
follow send relevant information with your application:
Name of next of kin
Relationship to you
Contact telephone number
Part B Proposed Academic Studies at the University of Winchester
Please indicate year and semester(s) of intended visit/studies at the University of Winchester.
Please tick the relevant box(es)
Academic year:
Semester 1 (Autumn)
Semester 2 (Spring)
If you are an overseas student it is necessary to decide early whether you visit for one or both semesters as
there are visa implications if you wish to stay longer than six months. If you decide to apply for both
semesters, you will also need to include a scan or photocopy of the photo page of your passport with your
application.
Please attach a brief explanation (300 – 500 words - typed) of your reasons for wanting to study at The University of
Winchester and how this period of study will contribute to your current studies.
Application Form – The University of Winchester
Part C
Current Academic Studies
Main subject(s) and level of your most recent studies
Please give the title of the highest qualification that you hold, the year and institution where you obtained it
Please attach an up to date copy of your transcript to this application form
If English is not your first language, you must provide one form of evidence of your English language competence
from the list below:
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IELTS – Minimum overall score of 6, including 6 in Academic Writing or TOEF IBT 80 (19 in writing)
an Overseas GCE O level in English language at Grade A – C or equivalent qualification
an academic reference to validate your English language skills
Please attach a copy to this application form
Please ask your academic adviser or some other professor in your Home Institution who knows you well to write to
Sarah Hanford directly on your behalf assessing your suitability for this programme of study.
Please give details here of the person you have approached to do this, e.g. name, position/faculty:
Part E Student Declaration
I certify that the information given on this form is true, complete and accurate, and no information requested or
other material information has been omitted.
Signature
Date
Part F Declaration of Support from Home Institution. Your form will not be processed if this section isn’t
completed.
I certify that the above student has the support of their Home Institution to attend The University of Winchester
during the period indicated.
Signature
Date
Name
Position
Contact email: