Application for Cross Institutional Study at Another University CLOSING DATE: deadlines.. DATE: Please consult with the host institution regarding their application deadlines INSTRUCTIONS 1. You must complete a major study at the University of Wollongong in order to satisfy requirements for your degree. 300 level subjects completed at another university do not count towards your degree major at the University of Wollongong. 2. Obtain an Enrolment Record Print (from SOLS or Student Central) and attach it to this form. 3. Seek approval from the relevant Head of the Academic Unit. 4. Seek approval from the Sub Dean/Dean of the Faculty in which you are enrolled. 5. Return the completed application with the approval signatures and enrolment record to Student Central – Building 17. 6. Approved Cross Institutional students will be sent an Approval Letter to the address listed in SOLS (please ensure this is current when submitting the form). PERSONAL DETAILS Student Number Title Last Name First Name Date of Birth Daytime Telephone Fax Email Address City State Postcode UOW COURSE DETAILS Course Code Course Name Major CROSS INSTITUTIONAL DETAILS Please detail the subjects to be studied by Cross Institutional Study at Another University Host University Name Subject Code Subject Name Commencement Date SPECIFIED CREDIT TO BE GRANTED AT THE UNIVERSITY OF WOLLONGONG Subject Code Recommendation by Head of Academic Unit Subject Name UNSPECIFIED CREDIT TO BE GRANTED AT THE UNIVERSITY OF WOLLONGONG WOLLONGONG 100 Level credit points 200 Level credit points 300 Level credit points 400 Level credit points STUDENT SIGNATURE I acknowledge that I have read and have accepted the conditions outlined in this form. Student Signature Date APPROVAL Approved Approved Date ARD-CS-FRM-014 Yes/No Sub Dean / Dean Name Signature Signature uow008342.doc 2007 July Locate the form online: http://www.uow.edu.au/student/forms/UOW008135.html Page 1 of 1