Study Abroad
Exchange orFee Paying
Application Form 2017-2018
International Admissions /
Application Deadlines / Full year /Semester 1 (Sept Arrival):
30 June 2017 / Semester 2 (January arrival) :
1 November 2017

Please read the notes on Page 4 BEFORE completing and submitting this application formelectronically. Handwritten applications will NOT be accepted.

Section A To be completed by the student (tick as appropriate)

Study Abroad (International Exchange) Study Abroad (Fee Paying)

Once completed, please return:International Exchange forms to

Fee Paying forms to

1. Personal Details
Surname / Family Name
First Names
Date of Birth / (dd/mm/yy) / Gender / Male
Female
Address
Telephone Number
Email address 1
Email address 2
Nationality / Nationality of Parent/s
If you do NOT have an EU Passport please complete the following section
Country of birth
Country of permanent residence / List last 3 years of residence
Passport number / Passport Nation of issue
Which visa do you intend to obtain. Tick as appropriate / Student Visitor Visa / Tier 4 (General Student) Visa / I don’t know yet
2. Study Details
Name of Home University
Address
Exchange/ Study Abroad/Visiting Tick as appropriate / Exchange Agreement (no fees payable) / Study Abroad(fees payable)
Name of Study Abroad scheme, e.g. Discovery Year Abroad (if applicable)
Subject area you will be studying
Study/work period: select as appropriate / Full Year / Semester 1 / Semester 2 / Other:
Study/work period dates / Start Date) / (dd/mm/yyyy) / End date / (dd/mm/yyyy)
Level of study at Lincoln / Undergraduate (Bachelors) / Postgraduate taught (Masters) / Postgraduate research (Doctoral)
3. Proposed Courses of Study (Units/Modules)
Contact the Academic Department where you will be studying for details of the courses available.
Give details of the courses in which you are interested in order of preference.It may not be possible for you to take all your preferred courses. Availability will be confirmed when you arrive.See Notes for how to complete.
If you have agreed to work on a project, please indicate the name of the supervisor
Semester A / Course Title / Course code / CATS/ECTS credits
1
2
3
4
Reserve
Reserve
I have agreed a project (sem 1) and I will not take exams. Project agreed with______(insert name here)
Semester B / Course Title / Course code / CATS/ECTS credits
1
2
3
4
Reserve
Reserve
I have agreed a project (sem 2) and I will not take exams. Project agreed with______(insert name here)
If you would like to take a module in a different subject please indicate it below (only ONE for semester)
Title / Course Code / CASTS/ECTS credits
Sem1 -
Sem2 -

4. English Language Competence

The Language Requirement for the majority of University of Lincoln programmes is IELTS 6.0 or equivalent with no subscore below 5.5, however this can vary according to programme. For more information about requirements and exemptions please visit the following website:
5. Additional Information
Please indicate any physical or other disability or medical condition including any which may necessitate special arrangements or facilities
Please select as appropriate / Please tick which of the following apply:
0. You do not have a disability nor are you aware of any additional support
requirements in study or accommodation
------
1. You have dyslexia
2. You are blind/ are partially sighted
3. You are deaf/ have a hearing impairment
4. You are a wheelchair user/ have mobility difficulties
5. You need personal care support
6. You have mental health difficulties
7. You have an unseen disability, e.g. diabetes, epilepsy, asthma.
8. You have two or more of the above disabilities
9. You have a disability not listed above
Have you ever been convicted of a relevant* criminal offence
Please select as appropriate / Please tick ONE of the following: Yes No
* Relevant criminal convictions are only those convictions for offences against the person, whether of a violent or sexual nature, and convictions for offences involving drugs, firearms, arson and terrorism. Convictions that are spent (as defined by the Rehabilitation of Offenders Act 1974) are not considered to be relevant. However, certain courses, for example health or social work related, do not come under the Rehabilitation of Offenders Act and should therefore be declared.

Declaration:

I confirm that, to the best of my knowledge, the information given in this form is correct and complete. I also understand that in accepting any offer of a place I might receive I agree to abide by the rules and regulations of the University of Lincoln. I also understand the terms and conditions of application specified in the prospectus, including that the University does not undertake any absolute obligation to provide educational services in the manner specified in the prospectus or in any other document. I will provide original certificates on or before enrolment to confirm my existing academic qualifications.

Signature ______Date______

(Please print, sign and scan this application and send it as .pdf)

Section B For International Exchange students only (not Fee Paying students)

To be completed by the Institutional Exchange Co-ordinatoror University Tutor

I confirm that:

  • this student has been nominated by our institution to undertake a study placement at the University of Lincoln
  • this student has sufficient academic ability and English language competence to follow the proposed programme of study at the University of Lincoln

Name______

Role______

Name of Institution______

Telephone Number______

Email______

Signature______Date ______

______

Application Completion Notes

Notes on completing the application form (all sections are compulsory)

Please complete the form electronically or in black ink using capital letters (e.g. A, B, C)

Please note that if you are completing the .pdf with Adobe Reader, you will not be able to save your changes but only print it directly. You can save your changes on a .pdf version only using Adobe Acrobat X Pro.

When ticking a box please right click on the go to Properties and change the Default Value to ‘Checked’

SECTION A Section A must be completed by the applicant student

1Personal Details

If your contact details change after you have applied, please contact the Student Administration Office as soon as possible.

2Study Details

You will be studying in one of the University of Lincoln’s Colleges (e.g. Arts, Science, Social Sciences) and in an Academic Unit within a College (ie School of ______). Please ask your Exchange Co-ordinator which Academic Unit/School you will be visiting if you are unsure.

The study periods available are:

Full year: September to JuneSemester 1: September to January Semester 2: January to June

If you are coming at another time please select ‘Other’ and apply by the appropriate deadline.

4Education

Please provide a transcript, translated into English.

5Signature

Please read the declaration and sign your application.

SECTION B (International Exchange students only)

Section B must be completed by the Institutional Exchange Co-ordinator or Academic Exchange Co-ordinator

Application Checklist

Please ensure you have completed: Application form

Please ensure you have included: Transcripts translated into English, English Language test results (if required) and your portfolio if requested for students applying for Art and Design subjects)

The Application Process

Please return your application form by the appropriate deadline. Ifyour application is approved, we will send you an offer letter or email. It is important that you do not make any arrangements for travel or accommodation until you receive this.

Once completed, please return this form and any supporting documents to:

International Exchange students to

Fee Paying students to

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