Document 273190

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.