ApplicationForm

CHOOSE STUDY PROGRAMME:
Please tick one box below to indicate the study programme you are applying for at the University of Suffolk
STUDY ABROAD PROGRAMME
Open to all students (Course fees apply) /
EXCHANGE PROGRAMME
Your home university must have a current exchange agreement with the University of Suffolk (no course fees apply) /
DURATION OF STUDY:
Please tick one box below to indicate your proposed period of study at the University of Suffolk
Full Year
(September – May) / Semester One Only
(September – January) / Semester Two Only
(January – May)

Study Abroad and Exchange Programmes

Before completing, please refer to the Study Abroad Framework

PERSONAL DETAILS
Title: / Sex: Female / Male
First Name(s): / Nationality:
Family Name(s): / Country of Permanent Residence:
Date of Birth (DD,MM,YYYY): / Country of Birth:
Email Address: / Passport Number:
Place of Issue:
Expiry Date:
Telephone Number (Include Country Code):
Permanent Address:
Country: / Current Visa Status:
UK Citizen
EU Citizen
I require a visa to study in the UK
Other ……………………………………………………….

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D. / HOME UNIVERSITY DETAILS & CURRENT STUDY
Name of College/University you are currently attending:
Town/City: Country:
Title of your current programme of study (degree title):
Number of years of study at higher education by time of departure abroad …. year(s)
(Applicants to our Study Abroad Programmes must have completed at least 1 year of Higher Education/University level prior to starting at the University of Suffolk)
Name of your International Exchange Coordinator/ Study Abroad Adviser: …………………………………………………….
E-mail Address:………………………………………………………………………Tel:…………………………………………………………….
E. / LEVELOF ENGLISH (Only complete if first language is not English)
It is essential that you have sufficient knowledge of English Language to follow lectures, write essays and take part in tutorial discussions. The expected level is CEFR B2 – C1 (min IELTS 6.0 or equivalent).
Do you hold an English Language Qualification: Yes / No
Please provide evidence, as per section M.
Please note: Applications without evidence will not be accepted

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F. / PROGRAMME OF STUDY AT UNIVERSITY OF SUFFOLK:
Please select faculty/department you wish to study in below (please tick one box only):
  • Exchange students are restricted to the areas of study included in the agreement with your home university. Please check with the Study Abroad Adviser at your home university and provide a copy of your Learning Agreement.
  • Study abroad students may choose from below:
Course Listings can be found here:
A Full Module Catalogue can be found here:
FACULTY OF ARTS, BUSINESS &
APPLIED SOCIAL SCIENCE / FACULTY OF HEALTH, SCIENCE & TECHNOLOGY
ARTS & HUMANITIES / / HEALTH SCIENCES /
CHILDREN, YOUNG PEOPLE AND EDUCATION / / SCIENCE & TECHNOLOGY /
PSYCHOLOGY, SOCIOLOGY & SOCIAL WORK /
SUFFOLK BUSINESS SCHOOL /
G. / SUPPORTING STATEMENT
Write a supporting statement, which briefly outlines your objectives and tells us why you want to study abroad at the University of Suffolk? (Maximum 300 words)
H. / FINANCIAL ARRANGEMENTS
Please tick one box below to indicate your financial arrangement
I can confirm that I will be an exchange student not liable to pay tuition fees
I am applying as a study abroad student and:
I will be responsible for paying the applicable tuition fees for my programme
Or
My home institution/sponsor will be responsible for paying my tuition fees
I. / DECLARATION BY APPLICANT
I declare that the informationI have provided is correct and complete to the best of my knowledge.
Signature ……………………………………………………………………. Date …………………………………………….

The University works within the BritishData ProtectionAct 1998. The personal data which you provide on this form will be used to administer your applicationand, if you are successful, the arrangements for your participationin the programme. As part of this, data may be passed to your supportingorganisationin your home country. By signing this form you will be giving consent to such uses and transfer of your data. If you have any queries about data use contact the International Student Officer.

J. / HOME UNIVERSITY APPROVAL (To be completed by Tutor/Study Abroad Adviser)
Name: ………………………………………………………………………………Job Title:…………………………………………………
Email:………………………………………………………………………..Telephone Number:……………………………………….
Signature of the Tutor/Study Abroad Adviser …………………………………………….Date………………………………
Official Stamp of the Home Institution:

Additional Information

K. / DISABILITY OR SPECIFIC LEARNING DIFFICULTY/DIFFERENCE (INCLUDING DYSLEXIA)
Please give details of any learning support needs, including any disability, medical condition and mental health issue for which you require specificsupport. If you require further advice please contact Student Services at University of Suffolk.
Attach a separate sheet if required.
L. / CRIMINAL CONVICTIONS
Do you have any criminal convictions? Yes / No
M. / CHECKLIST
The documents you need to send to us to apply to Study Abroad are:
  1. This application form
  2. A scan of your passport personal details page or ID card
  3. Official transcript of your academic results so far + an official translation
  4. Evidence of English Language Ability (if applicable)
  5. An Academic Reference provided by your Course Leader/University Tutor
The application deadline for our Study Abroad programme is:
31 May for September entry (Semester One)
31 October for January 2017 entry (Semester Two)
Applicants must be aware that if you are applying for a full academic year of study and you require a Tier 4 student visa, you must be in a position to apply for the visa at least two months before the start date of the course.
Please send your application and supporting documents to:
Jemma Stock, Study Abroad Adviser
University of Suffolk
Waterfront Building
Neptune Quay
Ipswich, Suffolk, IP4 1QJ
UK
Or scan and email to

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