International Exchange Students Scheme

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. Register your interest in short-term overseas study programs 2014 2. Complete this application form and take it to your student centre for subject approval 3. Complete Concurrent Study Form if required (see table of options) 4. Collect your assessed application from your student centre 5. Make a photocopy for your records 6. Return the assessed form to UTS International by 30 March 2014 7. UTS International will contact you regarding the outcome of your application 8. 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 End date

Country University

Course name* See list of pre-approved short programs

FACULTY APPROVAL – CREDIT TRANSFER

This page is to be completed by the UTS Student Centre.

Country University Place type Pre-approved UTS Faculty approval credit points for credit transfer please circle:

China Sun Yat-sen University (SYSU) Concurrent FEIT: UG UTS credit Yes No International Summer Program (ISP) study points ENG/IT electives (UG) France EM Strasbourg Business School Concurrent SCI: 12 UTS credit Yes No International Summer School: study points science electives Business in Europe (UG) France Télécom Ecole de Management Exchange or FEIT: 6 UTS credit Yes No European Summer School in France Concurrent points ENG/IT electives study (UG) Mexico Universidad de las Américas Puebla Concurrent SCI: 6 UTS credit points Yes No Spanish Immersion Program (SIP) study science electives (UG)

Peru Pontificia Universidad Católica del Perú Concurrent FEIT: 8 UTS credit Yes No (PUCP) study points ENG/IT electives Spanish Language and Peruvian Studies (UG) Program Singapore Nanyang Technological University Concurrent FEIT: 6 UTS credit Yes No GEM Trailblazer Summer study points ENG/IT electives (UG) Slovenia University of Ljubljana Concurrent FEIT: 6 UTS credit Yes No Ljubljana Summer School study points ENG/IT electives (UG / PG) United University of East Anglia UEA Concurrent FASS: 8 UTS credit Yes No Kingdom International Summer School 2014 study points general electives (UG)

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:______

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 accept financial responsibility the full cost of the short I agree that final approval to participate in the Global program, including accommodation and flights. I Exchange Program remains with UTS understand that host universities may charge non- International, my Faculty and the overseas institution tuition fees such as fees for student unions/insurance, Credit transfer etc.

I understand the UTS short programs website specifies If both exchange and Study Abroad (full fee places) are how many credit points / subjects I must study overseas available I understand that exchange places will be and the credit points that I will be eligible to gain for this allocated on the basis of WAM by UTS International. study. If scholarships are available, I will repay any I will not duplicate subjects already undertaken in my scholarships I have been offered if I do not go on UTS degree. exchange.

The UTS faculty has final authority on credit transfer. I will not leave debts owing to my host institution. I recognise that unpaid debts for accommodation or Credit transfer for exchange will occur when I present library fines at my host university may block my an official host university transcript. transcript being returned to UTS. Communication with UTS International Access to subjects at the host university is provisional on host university subject availability and access I will notify UTS International and my Faculty if I decide conditions. not to go on exchange.

Enrolment into subjects will be finalised on acceptance I will check my UTS email account regularly and into the host universities short program. recognise that this is an official means of UTS communication. I will be enrolled at both UTS and at the host university at the same time. I have updated my emergency contact details in My Student Admin. I give permission for my faculty to add the corresponding UTS exchange subjects to my plan, or I agree that in the event of an emergency occurring alternatively I agree to add exchange subjects to my overseas, UTS International can contact the Study Plan and enrol myself in the subjects before emergency contacts provided on this form and other commencing my exchange. support services to facilitate a safe exchange.

I understand that the UTS dates for adding/withdrawing I authorize UTS International to release personal from subjects still apply to my UTS enrolment while I details upon request to government departments. This am on exchange. I recognise that UTS online may be required if in receipt of Government funds enrolment may occur when I am overseas during my exchange semester. Conduct and contribution to UTS Global Exchange I agree to getting my host university transcript officially translated into English if English is not the language on I will be an excellent ambassador for UTS while on my host university transcript. exchange. Degree progress It is a condition of my exchange that I complete the I will research and accept any impact exchange may ‘Evaluation of Exchange Experience’ form on return have on my degree progress. from exchange and I understand that my results will not be updated until I return this form. I understand that if I go on exchange in my final semester, my graduation may be delayed for one I will attend at least one “Exchange Fair” and/or Global semester. Exchange Information Session upon my return. Disability assistance I understand that I may not receive updated results from my host University in time to apply for additional I do not have a disability or an illness courses of study commencing in the semester following exchange. I have a disability or an illness, which may require me to seek additional assistance at my host university to Preparation successfully complete an exchange semester abroad.

I will attend the compulsory Pre-Departure Workshop. I will provide a brief statement outlining my needs and special requirements. I will keep copies of all documents relating to my exchange, including copies of subject approvals and I understand that not all UTS partner institutions can email correspondence with faculty staff while I am accommodate special need requirements. overseas. FASS International Studies Only Partner university requirements I am aware I must complete my ICS year before being eligible to study on exchange. 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 I am aware that to be eligible for the UTS corporate health details. and travel insurance for an exchange semester, I am required to return to Australia after completion of In- I will be subject to the rules of my host university and country studies and before my exchange semester its exchange program. commences. I will only be covered for UTS insurance while on exchange if I return to Australia after ICS. Costs and charges

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:______

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 [email protected] Phone: (02) 9514 7915