This application must be completed in full for the candidate to be considered for the Summer School programme. To enable your application to be considered personal data provided on your application form may be entered onto the University’s computer records. At all times use of this data will be strictly in accordance with the principles laid down by the DATA PROTECTION ACT 1998.
PLEASE COMPLETE THIS APPLICATION BY THE FOLLOWING DEADLINE DATE
- 7th March 2018 at midnight
PERSONAL DETAILS
SURNAME:
FIRST NAME:
GCU STUDENT ID:
SEX: MALE/FEMALE / DATE OF BIRTH (DD/MM/YYYY):
NATIONALITY: / COUNTRY OF BIRTH:
ADDRESS:
POSTCODE: / E-MAIL:
HOME PHONE NUMBER: / MOBILE NUMBER:
EMERGENCY CONTACT DETAILS
NAME:
ADDRESS:
POSTCODE: / E-MAIL:
RELATION TO APPLICANT:
DO YOU HAVE A DISABILITY? / YES (please indicate below) / NO
No known disability (00) Blind/partially sighted (02) Deaf/hearing impairment (03) Wheelchair user/mobility issues (04)
Personal care support (o5) Mental health difficulties (06) An unseen disability (e.g. diabetes, epilepsy, asthma)(07)
Multiple disabilities (08) Autistic spectrum disorder (10) A specific learning difficulty (e.g. dyslexia)(11)
A disability not listed above (96) Information refused (97) Not known (99)
If you have marked ‘A disability not listed above’, please use the space provided to give your answer.
FAMILY HOUSEHOLD INCOME
Are you in receipt of SAAS funding? / YES / NO / If yes, do you receive a bursary?
How do you propose to fund flight costs if successful?
Your family’s household annual income (rounded to nearest £1,000): / Total number of occupants in family household:
Please provide any other information you feel is relevant to your financial situation
YOUR STUDIES AT GCU
FULL GCU DEGREE TITLE:
CURRENT YEAR OF STUDY:
HAVE YOU STUDIED ABROAD BEFORE? (IF YES PLEASE SPECIFY):
YOUR PREFERENCE OF SUMMER SCHOOL (please tick, or number 1 to 2 in order of preference):
Hansung University Seoul National University of Science & Technology No preference
LETTER OF MOTIVATION
Please write up to 250 words, indicating why you wish to take part in this opportunity. Content should include:
- How you will benefit from this opportunity
- Any future career aspirations and how this opportunity may contribute to achieving them
APPLICATION CHECKLIST
PLEASE USE THIS CHECKLIST TO ENSURE YOUR APPLICATION IS COMPLETE. **Incomplete applications will not be processed**
Please tick:
1. SIGNED APPLICATION FORM (submitting without hand-written signature is acceptable, provided this is done via your GCU email account)
2. COPY OF TRANSCRIPTS (available from the Campus Life Desk)
DECLARATION
- I confirm that, to the best of my knowledge, the information given is correct.
- I am aware that my destination choices are not guaranteed as spaces at the host institution may be limited.
- I am aware that if I have any pending assessment resits then I may not be eligible for exchange.
- I am aware that my GCU academic school/degree programme will approve my eligibility for exchange and ultimate destination.
- I agree to complete any further exchange documentation required by the given deadline dates should my application be successful.
- I agree that if selected, upon my return from exchange I will actively volunteer to help promote Study Abroad to future students.
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