PHOTO

INTERNATIONAL VISITING STUDENTS’ PROGRAMME

(JUNIOR YEAR ABROAD)

AND WORLDWIDE EXCHANGE PROGRAMME

APPLICATION FORM

STUDY PERIOD Semester 1 Semester 2 Both

(September-January) (January-May)

ACADEMIC YEAR ______

STUDENT STATUS Exchange Applicant Fee-paying Applicant

For office use: (DIWEXIOU) (DIOIVSP)

Family Name / Title (Mr/Mrs/Miss/Ms)
Forename(s)
Date of Birth / / /
(day/month/year) / Gender / MaleFemale
Nationality / Passport No
Correspondence
Address
E-mail address
Telephone No / Mobile No
Permanent Address (if different from above)
E-mail address
Telephone No
Do you have any physical or other disability which might necessitate special arrangements or facilities? Yes No
If YES, it would be helpful if you could forward details of your disability. We are obliged to consult the University’s Disability Office, who may contact you, if appropriate.
EDUCATIONAL PROFILE
Name of Current University/ College
Number of years completed at University / GPA
LIST THE MAJOR SUBJECTSYOU HAVE ALREADY STUDIED*

*Please send an up to date transcript

STUDY AT THE UNIVERSITY OF BRADFORD
Please list the modules that you wish to study. You can request a list of modules from the International Office if you are not able to find the list on the website. Note: Only use the module catalogue to look up descriptions of the modules. Some modules listed in the catalogue may not be available to exchange students. The module catalogue is available at:

Module No / Module Title
Note: A full student load is 60 credits per semester.
Please note: Modules ending with: “M” = 10 credits, “D” = 20 credits, “L” = 20 credits.Codes ending with “L” aretaught over the full year and therefore not always recommended for students here for just one semester but please check with the International Office as there are some exceptions).
ENGLISH LANGUAGE QUALIFICATIONS (example: IELTS, TOEFL)
Please give details*:
*You must enclose a copy of your test certificate

REFERENCES

Please submit two academic references with your application. This should be on headed paper.

CONTACT DETAILS FOR SENDING THE TRANSCRIPT

A transcript will be sent to your home institution. Therefore it is imperative that we have the accurate contact information. Please complete the following section so that we know where to send your transcript on completion of your studies.

APPLICANT CERTIFICATION

I certify that the information given is correct and complete.

Signature of student: Date: ____

ACADEMIC SUPPORT AND AUTHORISATION TO STUDY

To be completed by applicant’s academic adviser

I support this application for the above-named student to study at the University of Bradford.

Academic Adviser Name: ______

Position: ______

Academic Adviser Signature: _____Date:

Please return this form together with:

 Two academic references

 Personal statement

 Transcript

 English language certificate or equivalent

 Copy of Passport

 2 Passport Size Photographs

to:Sue Bunney,International Office,University of Bradford, BRADFORD,

BD7 1DP, UK

E-mail: and cc:

Tel: +44 1274 235703

Fax: +44 1274 235953

1