Collaborations & Study Abroad
Registry
Divinity Abroad 2016-2017: Application
Please complete and return electronically to the Collaborations & Study Abroad team (studyabroad@standrews.ac.uk) by 5pm on Friday 18 December 2015.
Surname
Forenames
Student ID
Degree intention (e.g. MA Social Anthropology
and Spanish)
Section 1: Programme Options
Duration and Timing
Full year
S1
Host Institution
S2
Universiteit Leiden, The Netherlands
VU Amsterdam, The Netherlands
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 Friday 18
December 2015.
If you are Joint Honours, please ensure you also submit to CSA, by the above deadline, a Letter of
Permission from the relevant Study Abroad Co-ordinator(s).