GUIDELINES FOR COMPLETING THE INCOMING EXCHANGE APPLICATION FORM

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1 GUIDELINES FOR COMPLETING THE INCOMING EXCHANGE APPLICATION FORM. EXCHANGE APPLICATION FORM Please ensure that you complete the application in BLOCK CAPITAL LETTERS. MODULE CHOICE FORM / LEARNING AGREEMENT (Section 7) The Form must be approved by an academic co-ordinator in your home university. Students should take modules maximum per semester. You CANNOT choose modules from a School that is not covered by the exchange agreement between your home institution and Westminster. You CANNOT take modules across Schools. We cannot guarantee that you will get your top four choices of modules and you will receive a finalised timetable once you have arrived and have spoken with your Academic Exchange Co-ordinator at the University of Westminster. Students should contact the Academic Exchange Co-ordinators at the University of Westminster for further course advice. Contact details of the Academic Exchange Co-ordinators can be found at If you who require a student visa to stay in the UK, then you are required by law to undertake a minimum of. UK credits per semester in order to meet immigration criteria. UK module = UK credits. General module information can be obtained on the University website: ACCOMMODATION APPLICATIONS (Section ) Accommodation places are limited and it is advisable to send the application as early as possible. Please note that there is a severe shortage of places in the Halls of Residence for students arriving in Semester (January May). Students can apply as normal and will be placed on a waiting list. However, to avoid disappointment semester students should be prepared to find private accommodation. Students will be notified by Student Accommodation Services directly about their application. Those who are not allocated a place in halls will be sent an information pack with further details about finding accommodation and placed on a waiting list, but again this will not guarantee that you will be offered a place in University Halls of Residence. For general details of the accommodation available please visit

2 Please attach a passport - sized photo EXCHANGE PROGRAMME APPLICATION FORM This form is designed to give us the information we need to consider your application to our Exchange Programme. It does not commit you to taking up any place you may be offered. Please complete ALL sections. Thank you. SECTION A: PROGRAMME DETAILS I am applying for the 0 / 0 academic year Semester (September start) Semester (January start) Full Academic Year Where did you hear about this programme? SECTION B: ENGLISH LANGUAGE PROFICIENCY Is English your first language? Yes No Please state for how long you have been formally studying English SECTION : PERSONAL DETAILS Full Name (As it EXACTLY appears in your passport) Gender Nationality Country of Birth Permanent Home Address Passport Number Home Telephone Address, of Birth (Day / Month / Year), Mobile Cell Phone (MUST BE PROVIDED) Have your parents/guardians ever been in Higher Education? Yes No Don t Know Prefer Not to Say Do you have a physical or sensory disability? Yes No If yes, please enclose details in a separate envelope marked Confidential. Include a statement detailing your plan to manage your disability whilst abroad. Also include a recent relevant report from your doctor and information on any special needs arising from your disability. ALL supporting medical documentation supplied to the University of Westminster MUST be in English. SECTION : EDUCATIONAL DETAILS Home College or University (Name/Address) Current Course of Study (Exact Name of Degree) Total Length of Current Course of Study Expected Year of Graduation Current Cumulative GPA / Average Grade Classes you are currently taking not listed on your transcript Year(s) of study while abroad (select from drop-down menu) st, Semester(s) of study while abroad st Contact Details of Exchange Co-ordinator at Home Institution (Name, and )

3 SECTION : IMMIGRATION INFORMATION Have you ever studied in the UK before? Yes No If yes, please provide details (year(s), institution, level and course of study): Do you intend and are you able to attend all lessons / classes as part of your programme in the UK? Yes No If you are a national of an EEA country (European Union plus Iceland, Liechtenstein and Norway) or you are from Switzerland, you can enter the UK as a student with a minimum of formality - you do not require entry clearance or a visa. You may be asked to show evidence that you have been accepted on to a course, and that you have sufficient funds to support yourself whilst in the UK. You will also need your passport. If you are a non-eea national or a non-swiss national, depending on your programme you will either need to apply for a: Student Visitor Visa (if your programme is not longer than six months and your programme does not involve an internship arranged by the University of Westminster) Tier General Student Visa (if your programme is longer than six months and/or your programme does involve an internship arranged by the University of Westminster) If you qualify for a Tier General Student Visa, you will need a Confirmation of Acceptance of Studies (CAS) number and statement from the University. This will be ed to you from the Education Abroad Centre and your acceptance letter will indicate to you when you should expect to receive it. Further guidance is available from the University s Student Advice Service at SECTION : ACADEMIC REFERENCE Please enclose a reference on letter-headed paper written by one of your tutors from your home college or university. The reference should comment on your academic standing and your suitability for the Exchange Programme. SECTION : HALLS OF RESIDENCE Details of the Halls of Residence can be found at: Please actively research the Halls of Residence and carefully choose your preferences below, noting the following: if you are offered and/or accept a place at a Hall of Residence you will not be able to change your assignment all assigned rooms are single occupancy (twin sized bed) a small number of rooms for double occupancy may be available for partners or married couples not all Halls of Residence have ensuite facilities (ie bathrooms inside each room) although the University endeavours to place applicants in their first preference Hall of Residence, it is unable to guarantee that applicants will be offered their choice of Hall or room type Do you wish to apply for a place in University of Westminster Halls of Residence? Yes No If you answered Yes to the last question, please complete either the Harrow OR the Central London section below (based on the location of study of your module choices). For Harrow Hall of Residence OR For Central London Halls of Residence Please rank the two options below in order of preference ( = most preferred): Standard Room Standard Block Standard Room Premium Block Please rank the three options below in order of preference ( = most preferred): Alexander Fleming Hall Marylebone Hall Please provide details below if you wish to apply for a double occupancy room with a partner or spouse. Name of partner / spouse

4 SECTION 7: MODULE CHOICES / LEARNING AGREEMENT Family Name First Name Home University Please follow the instructions below: Use our online Exchange Programme Module Catalogue at to decide which modules you wish to study. Ensure that you read all accompanying guidance to assist you with making your choices. Using the full codes and titles, please list, in order of preference, the modules you wish to select. Although students take modules per semester, please choose 8 modules ( preferred and alternative) to avoid disappointment due to timetable clashes; last minute timetable changes; or module cancellations. Please fill out the Module Choice form in its entirety and list all 8 modules, in order of preference. If your first preferred choice cannot be accommodated, we will try to replace it with your first alternative choice, and so on. Failure to provide us with a complete module choice form will delay the process of you being fully registered on modules prior to your arrival. If you are studying for a full academic year, please ensure that you enclose a second MODULE CHOICE/LEARNING AGREEMENT with your semester choices. Please note that the University of Westminster cannot guarantee that requested modules will be available. First choices Module Code Module Title 7 8 We recommend that students choose alternative modules per semester. Second choices Module code Module Title Student s Signature (electronic signature) SENDING INSTITUTION Exchange Co-ordinator's signature University Stamp RECEIVING INSTITUTION Academic Exchange Co-ordinator's signature University Stamp

5 CHANGES TO ORIGINAL MODULE CHOICE FORM / LEARNING AGREEMENT (to be filled in ONLY if appropriate) Final Choices 7 8 Module Code Module Title UK Module Credits ( UK Credits = 7. ECTS Credits) Please note that Polylang Courses (i.e English for Academic Purposes) are half credit modules and are worth 7. UK Credits per semester or UK Credits for a full year. Student s Signature (electronic signature) SENDING INSTITUTION Exchange Co-ordinator's signature University Stamp SECTION 8: I ENCLOSE THE FOLLOWING: Please note that we cannot return any original documents provided. A personal statement An academic letter of reference A portfolio of work if applying for practical modules at the school of Media, Arts and Design An official transcript A copy of the main photograph page from my passport A passport sized photograph APPLICATION DEADLINES: May for September start October for January start Please note that we are unable to make a decision on your application until all the above items have been received. If you are sending some items separately please give us an indication of when they are likely to arrive. SECTION 9: DECLARATION I confirm that all the details I have provided are true and accurate. I have read and understood the information contained on the University website and / or in University publications in relation to Halls of Residence applications. I understand that the information in my Halls of Residence application will be used by the University of Westminster in accordance with the Data Protection Act 998. I agree that the information I have provided is accurate and that any medical information may be disclosed in confidence to relevant staff in the Halls of Residence, the Counselling and Advice Service and the Student Health Service. I also agree that the University of Westminster may disclose information to third parties who provide services to the University on the basis that it is provided in confidence. Signature (electronic signature) Please send your application to: Education Abroad Centre, University of Westminster Little Titchfield Street, London WW 7UW, United Kingdom

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