Student Name:
Student Number:
Short-term overseas study
– application form
Applications for UTS Winter period (June/July) due:
Student centres by 21 February 2014
Assessed application then due at UTS International by 30 March 2014
Steps to apply
1.
2.
3.
4.
5.
6.
7.
8.
Register your interest in short-term overseas study programs 2014
Complete this application form and take it to your student centre for subject approval
Complete Concurrent Study Form if required (see table of options)
Collect your assessed application from your student centre
Make a photocopy for your records
Return the assessed form to UTS International by 30 March 2014
UTS International will contact you regarding the outcome of your application
Once approved, apply to the partner university.
PERSONAL DETAILS
Student Number
Title
Family Name
Given Names
Gender
Date of Birth
Nationality
Faculty
Course Code
Course Name
EMERGENCY CONTACT DETAILS
Emergency contact name
Relationship
Emergency contact phone
Emergency contact email
SHORT-TERM PROGRAM DETAILS
Year
Start date
Country
Course name* See list of pre-approved short programs
Page 1
End date
University
Student Name:
Student Number:
FACULTY APPROVAL – CREDIT TRANSFER
This page is to be completed by the UTS Student Centre.
Country
University
Place type
Pre-approved UTS
credit points
Faculty approval
for credit transfer
please circle:
China
Sun Yat-sen University (SYSU)
International Summer Program (ISP)
Concurrent
study
Yes
No
France
EM Strasbourg Business School
International Summer School:
Business in Europe
Télécom Ecole de Management
European Summer School in France
Concurrent
study
FEIT: UG UTS credit
points ENG/IT electives
(UG)
SCI: 12 UTS credit
points science electives
(UG)
FEIT: 6 UTS credit
points ENG/IT electives
(UG)
SCI: 6 UTS credit points
science electives (UG)
Yes
No
Yes
No
Yes
No
France
Exchange or
Concurrent
study
Concurrent
study
Mexico
Universidad de las Américas Puebla
Spanish Immersion Program (SIP)
Peru
Pontificia Universidad Católica del Perú
(PUCP)
Spanish Language and Peruvian Studies
Program
Nanyang Technological University
GEM Trailblazer Summer
Concurrent
study
FEIT: 8 UTS credit
points ENG/IT electives
(UG)
Yes
No
Concurrent
study
Yes
No
Slovenia
University of Ljubljana
Ljubljana Summer School
Concurrent
study
Yes
No
United
Kingdom
University of East Anglia UEA
International Summer School 2014
Concurrent
study
FEIT: 6 UTS credit
points ENG/IT electives
(UG)
FEIT: 6 UTS credit
points ENG/IT electives
(UG / PG)
FASS: 8 UTS credit
points general electives
(UG)
Yes
No
Singapore
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Student Name:
Student Number:
OVERALL FACULTY/STUDENT CENTRE APPROVAL
Instructions to UTS students centres
1.
Circle the approval box above to indicate approved faculty credit transfer
2.
Attach the students approved concurrent study form – required if this place time is indicated in the
place type above
3.
Complete the box below
4.
Return the assessed form to the student; the student then submits the form to UTS by 30 March 2014
5.
UTSI will check that students meet the following eligibility requirements:



WAM of 60 (65 for Law students)
No more than 10% of subjects failed fails
Completion of 48 credit points in an undergraduate degree or 24 credit points in a
postgraduate degree by the time faculty pre-approved short-term overseas study program is
undertaken
Does this student have space in their degree to receive credit for the proposed short program?
Yes
No
YES this student is approved for a short-term overseas study program
NO this student is not approved for the following reason(s):
I have attached the concurrent study approval form for this student, if required, in the table above.
Student centre/ faculty approval:
Name:______________________________ Signature: __________________________Date:_____________
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Student Name:
Student Number:
CONDITIONS OF PARTICIPATION
Please read the UTS Global Exchange Conditions of Participation thoroughly and tick the check box to indicate you
have read and accepted each of the following:
Exchange Approval
I agree that final approval to participate in the Global
Exchange Program remains with UTS
International, my Faculty and the overseas institution
Credit transfer
I understand the UTS short programs website specifies
how many credit points / subjects I must study overseas
and the credit points that I will be eligible to gain for this
study.
I will not duplicate subjects already undertaken in my
UTS degree.
The UTS faculty has final authority on credit transfer.
Credit transfer for exchange will occur when I present
an official host university transcript.
Access to subjects at the host university is provisional
on host university subject availability and access
conditions.
Enrolment into subjects will be finalised on acceptance
into the host universities short program.
I will be enrolled at both UTS and at the host university
at the same time.
I give permission for my faculty to add the
corresponding UTS exchange subjects to my plan, or
alternatively I agree to add exchange subjects to my
Study Plan and enrol myself in the subjects before
commencing my exchange.
I understand that the UTS dates for adding/withdrawing
from subjects still apply to my UTS enrolment while I
am on exchange. I recognise that UTS online
enrolment may occur when I am overseas
I agree to getting my host university transcript officially
translated into English if English is not the language on
my host university transcript.
Degree progress
I will research and accept any impact exchange may
have on my degree progress.
I understand that if I go on exchange in my final
semester, my graduation may be delayed for one
semester.
I understand that I may not receive updated results
from my host University in time to apply for additional
courses of study commencing in the semester following
exchange.
Preparation
I will attend the compulsory Pre-Departure Workshop.
I will keep copies of all documents relating to my
exchange, including copies of subject approvals and
email correspondence with faculty staff while I am
overseas.
Partner university requirements
I understand that I will contact the host university
directly using the contact details provided on the UTS
website if I have questions regarding their program
details.
I will be subject to the rules of my host university and
its exchange program.
Costs and charges
I accept financial responsibility the full cost of the short
program, including accommodation and flights. I
understand that host universities may charge nontuition fees such as fees for student unions/insurance,
etc.
If both exchange and Study Abroad (full fee places) are
available I understand that exchange places will be
allocated on the basis of WAM by UTS International.
If scholarships are available, I will repay any
scholarships I have been offered if I do not go on
exchange.
I will not leave debts owing to my host institution. I
recognise that unpaid debts for accommodation or
library fines at my host university may block my
transcript being returned to UTS.
Communication with UTS International
I will notify UTS International and my Faculty if I decide
not to go on exchange.
I will check my UTS email account regularly and
recognise that this is an official means of UTS
communication.
I have updated my emergency contact details in My
Student Admin.
I agree that in the event of an emergency occurring
overseas, UTS International can contact the
emergency contacts provided on this form and other
support services to facilitate a safe exchange.
I authorize UTS International to release personal
details upon request to government departments. This
may be required if in receipt of Government funds
during my exchange semester.
Conduct and contribution to UTS Global Exchange
I will be an excellent ambassador for UTS while on
exchange.
It is a condition of my exchange that I complete the
‘Evaluation of Exchange Experience’ form on return
from exchange and I understand that my results will not
be updated until I return this form.
I will attend at least one “Exchange Fair” and/or Global
Exchange Information Session upon my return.
Disability assistance
I do not have a disability or an illness
I have a disability or an illness, which may require me
to seek additional assistance at my host university to
successfully complete an exchange semester abroad.
I will provide a brief statement outlining my needs and
special requirements.
I understand that not all UTS partner institutions can
accommodate special need requirements.
FASS International Studies Only
I am aware I must complete my ICS year before being
eligible to study on exchange.
I am aware that to be eligible for the UTS corporate health
and travel insurance for an exchange semester, I am
required to return to Australia after completion of Incountry studies and before my exchange semester
commences. I will only be covered for UTS insurance
while on exchange if I return to Australia after ICS.
I agree to and will abide by the terms and conditions as set out in the Conditions of Participation. I declare that
the information I have supplied on this form is complete, true and correct:
Name:______________________________ Signature: ___________________________Date:___________
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Student Name:
Student Number:
SUBMITTING YOUR APPLICATION
After your application has been assessed by your student centre:
Post/ Email (email preferred)
In person
Global Exchange, UTS International
UTS International
University of Technology, Sydney
Level 3A, UTS Tower Building
PO Box 123, Broadway 2007 NSW, Australia
15 Broadway, Ultimo 2007 NSW
studyabroad.exchange@uts.edu.au
Phone: (02) 9514 7915
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