Collaborations & Study Abroad Registry Postgraduate Divinity Abroad 2016-2017: Application Please complete and return electronically to the Collaborations & Study Abroad team (studyabroad@standrews.ac.uk) by 5pm on 1 April 2016. Surname Forenames Student ID Ph.D Research Area Section 1: Programme Options Duration and Timing S1 S2 Host Institution Eberhard Karls Universität Tubingen, Germany VU Amsterdam, The Netherlands University of Zurich, Switzerland Notes Section 2: About You Please provide a short statement outlining your reasons for applying to the Divinity Abroad programme and addressing how you expect to benefit from the academic opportunities the programme provides. (300 words max) Please tell us about your extra-curricular activities and any other interests that you would like to pursue while abroad. (300 words max) Work Experience Employer From To Responsibilities Please use this space to tell us any other information you feel is relevant to your application e.g. related skills or prior study abroad experience and travel. St Katharine’s West, 16 The Scores, St Andrews, Fife KY16 9AX, Scotland T: +44 (0)1334 462245/463310 F: +44 (0)1334 463330 E: studyabroad@st-andrews.ac.uk and collabs@st-andrews.ac.uk W: www.st-andrews.ac.uk/studyabroad The University of St Andrews is a charity registered in Scotland, No: SC013532 Section 3: Further Information 1. Referee Please provide details of your academic referee. Name School 2. Health and Disabilities If you have a disability, learning difficulty or long term medical condition, please provide details of any teaching, exam or practical arrangements in place for you in St Andrews. Please note that student support services vary across all of our partner institutions and partners may not always be able to offer the same arrangements as you have here. It is important that you tell us of any requirements now, so that we can liaise with the partner as early as possible. If you know of any special condition which might affect your eligibility for travel insurance, you must advise us, either in the space below, or in a confidential letter to the Head of Academic Partnerships and International Experience (Collaborations & Study Abroad). 3. Personal Circumstances Please provide information, if appropriate, about any personal circumstances that may impact on your Study Abroad experience. You must also use this space to detail any disciplinary action you have faced as a St Andrews student. As part of the selection process, CSA may consult with Student Services. Do you have any personal circumstances which may impact negatively on your Study Abroad experience? YES NO If yes, please provide details: Have you been subject to any disciplinary action while registered at St Andrews? YES NO If yes, please provide details: Section 4: Submission Confirmation I declare that the information given on this form is correct and complete. I understand that the University reserves the right to withdraw an offer of study abroad if the information given by me is inaccurate or misleading. Name Date Please now submit your application electronically to studyabroad@st-andrews.ac.uk by 5pm on 1 April 2016.