Study Abroad Programme
Application Form:
Please tick as appropriate: European Union National Non-EU National
This application form is solely for the use of students currently enrolled on a course of study leading to a recognised award of another institution of higher education who wish to apply for admission to the University of East London on our Study Abroad Programme. As a Study Abroad student, you are not applying for a Bachelor award, but are attempting to achieve academic credit to transfer back to your home university/college. The Study Abroad programme consists of three modules of study (classes) full-time only. /Name and Country of Home University/College:
Name and email address of contact at Home
University/College1. Personal Details / 2. Residency
Title (e.g. Mr/Mrs/ Miss): / Country of birth:
Surname: / Nationality as per your passport:
First name: / Country of permanent residence:
Sex: Male / Female
Date of birth: / Passport number:
Contact address:
Telephone number (plus country code):
Email:
3. Disability/ Special Needs
Please enter the appropriate code in the box provided if you have a physical or sensory disability which might in some way affect your studies at the Institution or may require special facilities of treatment. Please provide full details in Section 10.
Codes:
0 None, 1 Dyslexic, 2 Partially Sighted, 3 Hearing Impaired, 4 Chair/Mobility, 5 Personal Care/Support, 6 Mental Health,
7 Unseen e.g. epilepsy, diabetes, asthma, 8 Multiple, 9 Other
4. Tuition Fees
Please indicate who is expected to pay your fees:
Self-Funded Your University/College International Exchange student paying £0.00 fees.
5. Details of Modules you wish to study Please note that students need to choose 3 modules per semester
Majorsubject area at home institution:*Modules (classes) you wish to study at UEL:
Please list any substitute modules to take in the event one or more of the above are not available:
Completed years at your home institution: / Year 1 Bachelor Year 2 Bachelor Year 3 Bachelor
Year 4 Bachelor
Duration at UEL: / Semester A (September-January)
Semester B (January-June)
Full academic year (only available September-June)
* We will endeavour to offer all modules at their advertised times but we reserve the right to alter, modify or cancel them.
6.Personal Statement: Please state your reasons for applying to study abroad at UEL. We will not consider your application unless this section is completed.
7 Declaration:I confirm that, to the best of my knowledge, the information given in this form is correct and complete. I understand that the University reserves the right to withdraw any offer it may make, should any statement in this application prove to be false.Applicants signature / Date
Please return your completed application form with copies of your academic transcript and nomination letter from your institution, and any other supporting documents to:
Study Abroad/Exchange Office
UEL International
University of East London
University Way
London, E16 2RD
United Kingdom
Tel:+44 (0)20 8223 6442
Fax: +44 (0)20 8223 7736
Email:
Web: