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 √) ◌ ◌ ◌ ◌ ◌ ◌ 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 ◌ ◌ ◌ ◌ ◌ ◌ ◌ ◌ ◌ 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: 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:
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