Collaborations & Study Abroad Registry ---SAMPLE APPLICATION--Application for Admission as a Non-Graduating Student Please complete all required fields – if you experience any problems, please write to [email protected] 1. Your application details: 1.1. Programme details: 1.2. Academic Year: 1.3. Duration of study: 1.4. Home institution: 1.5. Number of years completed in Higher Education: Study Abroad applicants only: 1.6. Are you applying through a Study Abroad Provider? Exchange Programme 2013-14 Select or edit as appropriate Please select: Select as appropriate UNIVERSITY OF CALIFORNIA, SAN DIEGO 2 No 2. Faculty and Module choices: 2.1. To which Faculty are you applying? Science 2.2. Using the most recent Course Catalogue for reference, please list some modules of interest below. 60 credits per semester = a full credit load. Subject Module Code Module Title Credits Geography GE1002 Global Environmental Problems 20 Geography GE1007 European Land Structures 20 Oceanography OC1100 The Ocean Floor 20 3. Personal Details 3.1. Surname: 3.2. Forename(s): 3.3. Preferred name/known as: 3.4. Title: 3.5. Gender: 3.6. Date of Birth: 3.7. Nationality: 3.8. Country of Domicile: 3.9. Country of Birth: PARK JOHN JOHN Mr Male 13 May 1993 USA Enter as appropriate USA USA St Katharine’s West, 16 The Scores, St Andrews, Fife KY16 9AX, Scotland T: +44 (0)1334 462245/463310 F: +44 (0)1334 463330 E: [email protected] and [email protected] W: www.st-andrews.ac.uk/studyabroad The University of St Andrews is a charity registered in Scotland, No: SC013532 4. Contact Details 4.1. Permanent Home Address: 4.2. Home telephone number: 4.3. Email address: 4.4. Term-time Contact Address same as Permanent Home Address: OR 4.5. Contact telephone number: 4.6. Contact email address: 5. Education History 5.1. Name of home institution: 123 FAKE STREET Address Line 2 Address Line 3 LOS ANGELES, CA USA 90215 310-555-5555 [email protected] 567 OCEAN BLVD APT 5 Address Line 3 SAN DIEGO, CA USA 92130 310-555-5555 [email protected] UNIVERSITY OF CALIFORNIA, SAN DIEGO CALIFORNIA, USA 5.2. Date of entry: 5.3. Study Abroad Adviser details: September 2011 UC, EDUCATION ABROAD PROGRAM The University of St Andrews works with a number of partner universities and Study Abroad providers around the world. Students who apply through a partner institution or provider should note that information, communications and decisions will be shared with the partner. This may include, but is not restricted to, information about an applicant’s status, information about a student’s hall of residence, contact details at St Andrews, module choice, academic progress and module results, any disciplinary or academic misconduct case involving the student. 5.4. Name of previous institution (if applicable): N/A Country and State/Province 5.5. Dates of attendance: 5.6. Name of most recent High School From: Month Year To: Month Year Previous High School Country and State/Province 5.7. Dates of attendance: From: Month Year To: Month Year Complete if applicable 6. Referee Details 6.1. Referee details: Name Position Relationship to applicant Email address Contact number Institution Recommendation/ Referee Details not required for UCEAP students Country and State/Province 7. Academic Information 7.1. Current average grade (e.g. GPA): 7.2. Current intended degree aim/major(s): 7.3. Current courses (if not listed on transcript): 3.69 GEOGRAPHY 8. English Language Requirements/Proficiency If your first language is not English, you must provide us with evidence of proficiency in written and spoken English. 8.1. Have you taken a Secure English Language Test (SELT) Yes: No: 8.2. Test details: Test Type 8.3. Overall score: Complete as applicable. Non-US citizens may 8.3.1. Reading score: be asked to submit proof of English proficiency. 8.3.2. Writing score: 8.3.3. Speaking score: 8.3.4. Listening score: 9. Personal Statement Please write a brief statement about your interest in the subjects you wish to study and of your reasons for wishing to study at the University of St Andrews. (400 words max) Enter your Personal Statement 10. Financial Information 10.1. How will your programme fees be paid: 10.2. How will your accommodation fees be paid: 11. Additional Information 11.1. Disability information: Complete as applicable Home institution (exchange agreement) Self/Parents Please select: You can provide information on your disability below, or in an email to [email protected] if necessary. 11.2. 11.3. Ethnic origin: Do you hold a criminal conviction? Please select: Yes: No: If yes, please provide information below or in an email to [email protected] 12. Declaration 12.1. I declare that the information I have provided is accurate to the best of my knowledge: Submit your completed application and supplemental documents to 13. Submit your application your campus EAP office, with your EAP application Save your application as a MS Word document (.doc or .docx) or as a PDF file and email to [email protected] Reference Your referee can email their reference directly to [email protected], or you can submit a scan of a paper reference which is hand-signed and on official letterhead paper. Transcript Your home university can email an electronic transcript (either web-based electronic version, or a scan of a paper copy) directly to [email protected] Alternatively, you can post an official paper copy of your transcript to: Collaborations & Study Abroad Registry University of St Andrews St Katharine’s West 16 The Scores St Andrews KY16 9AX Fife, Scotland English language proficiency test If applicable, please email a copy of your Secure English Language Test results to [email protected] along with your application.
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