Department of English and Comparative Literary Studies

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Department of English and Comparative Literary Studies
Study Abroad (Intercalated Year): Expression of Interest Form.
(Please return to English Office by Monday, November 30th, 2015 along with a short
reference letter by a tutor who knows you).
Name: ______________________________________________________________
Warwick email: _______________________________________________________
Personal email: _______________________________________________________
Mobile phone: ________________________________________________________
Degree: _____________________________________________________________
English degree pathway (if applicable): _____________________________________
Name of personal tutor: _________________________________________________
Name and address of referee: ____________________________________________
____________________________________________
____________________________________________
____________________________________________
Interest in (please tick below):
• Canada exchange:
University of Toronto _____
University of Western Ontario _____
• European exchange (Erasmus):
Paris IV (Sorbonne) _____
University of Aix-Marseille _____
Berlin Freie University _____
Bogazici University (Istanbul) _____
University of Padua _____
• Australian exchange
Monash University _____
• China exchange:
Tsinghua University _____
• Brazil exchange:
Pontifical Catholic University of Rio de Janeiro (PUC Rio) _____
Please describe your reasons for applying for the exchange:
Briefly discuss your goals for the year abroad and describe any past experience in
living abroad and away from your family.
(For non-Anglophone destinations) Give a brief account of your language
competency in the host country of your choice:
Signature_________________________________________________ Date___________
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