Søknad til Study Abroad ved UTS

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1 Søknad til Study Abroad ved UTS Dersom du svarer NEI på ett eller flere av spørsmålene under må du kontakte KILROY education før du fyller ut denne søknaden. 1. Har du generell studiekompetanse? 2. Har du sjekket at snittet ditt er tilstrekkelig for å få opptak? 3. Har du sjekket at du innfrir eventuelle spesielle opptakskrav? 4. Har du satt deg inn i det økonomiske ved det å studere i utlandet? Vet du allerede hva du ønsker å studere, kan du fylle ut søknaden vedlagt. Her er tips for utfylling av søknaden. Husk å fylle ut alle felt. Huk av på Study Abroad Personal details/visa details: Fyll ut personlig informasjon og kontaktdetaljer. Proposed enrollment: Velg om du skal ta fag på bachelor- eller masternivå og når du vil starte Current enrollment: navnet på skolen du går nå, samt hvilke fag du tar inneværende semester. Educational details: Skriv ned tidligere utdanning. VGS = secondary school studies og skriv «Vitnemål» under «Name of examination». English language proficiency: Har du 4 eller høyere fra VGS, skriv dette under «At what level». Enkelte studier kan kreve engelskkarakter 5 eller språktest. Har du lavere enn 4, må du normalt ta en språktest ta kontakt med oss for informasjon. Supporting statement: Hvis du har en hjemmeinstitusjon, kan de fylle ut dette. Husk å signere Huskeliste Vitnemål fra videregående skole på NORSK og ENGELSK. Foreløpig karakterutskrift hvis du ikke har fullført videregående skole. Karakterutskrifter fra høyere utdanning på NORSK og ENGELSK Kopi av pass Engelsk bekreftelse på hvilke fag du tar inneværende semester (hvis relevant). Søknaden og vedlegg sendes per post til KILROY education. Husk attesterte kopier, dvs. stemplet med rett kopi og signert! Alt skal sendes til: KILROY education Kirkegata Oslo KILROY education hjelper deg gratis med søknaden. Du får blant annet informasjon om studietilbud, opptakskrav, skolepenger, Lånekassen, bomuligheter og visum. Studieveilederen i KILROY education svarer på de spørsmålene du har gjennom hele

2 søknadsprosessen, og vi møter deg gjerne til studieveiledning på vårt kontor i Oslo eller Bergen. KILROY kan også hjelpe deg med flybilletter og studentforsikring.

3 Office Use Only Application Number Course Code Application Fee uts international non-degree application form university of technolgy, sydney Please indicate which one of the following non-degree options you are applying for: Study Abroad Exchange Visiting Research Students Program 1. personal details Your name as shown on your passport Title (Mr,Ms, etc) Family Name(s) Given Name(s) CRICOS Provider Code 00099F Date of Birth Day Month Year Sex Male Female Citizenship Country of Birth Passport Number Postal Address Phone Mobile Passport Photograph Please attach a passport sized photograph here Postcode/Zip Fax Home Country Address Phone Postcode/Zip Mobile Fax 2. PROPOSED ENROLMENT AT UTS Please select your proposed study program: C50006 Study Abroad Undergraduate When do you wish to begin study? Semester 1 (late February) Do you intend to study at UTS for one or two semesters? One Semester Part-time (less than 18cp) C50007 Study Abroad Postgraduate June session (late June) Two Semesters Full-time (18-24cp) C50009 Study Abroad Australian Language and Culture Semester 2 (late July) C50008 Visiting Research Students Program November session (late November) C22032 Exchange Australian Language and Culture Year 20 C22028 Exchange Undergraduate Three Semesters (Visiting research only) Four Semesters (Visiting research only) C22029 Exchange Postgraduate 3. current enrolment Are you currently studying at University? Yes No Which institution are you currently attending? What is the title of your current study program? What is your current year of study? 2nd 3rd 4th 5th Other - Please explain What is your expected year of graduation? 20 (Please note: You must submit an original academic transcript or certified copy of your academic transcript to verify your current enrolment. The transcript provided should indicate all subjects attempted, grades and awards achieved and an explanation of the grading system used by the institution.) OFFICE USE ONLY Approved Not Approved Your Signature Name Date Comments

4 Subjects currently enrolled in at university: (Please provide this information on an academic transcript, if available) 4. subject choices Please list all subjects you plan to study at UTS in order of preference. You should list subject numbers and names as indicated in the relevant UTS faculty handbook or the UTS website Please consult the UTS online timetable to check each selected subject is offered for your chosen semester. Not required for applicants to the Visiting Research Students Program. Preferred Semester UTS Subject Number Subject Name Credit Points Eg. Semester 1, Consumer Behaviour 6 (Please note: enrolment into the chosen subject is not guaranteed. Enrolment is dependent on the subject being available in the chosen semester and on the student meeting requirements for the subject.) 5. ENGLISH LANGUAGE PROFICIENCY Have you already studied in English? No Yes At what level? Have you taken an English proficiency test? No Yes Name of Test Date of Test (Day/Month/Year) Place Test Score 6. HOW DID YOU FIND OUT ABOUT UTS University representatives overseas Advertisement in educational directory - Please specify directory Friends or family Your Study Abroad or Careers Adviser at home university Overseas Education Exhibition or Fair - Please specify event Advertising in newspaper - Please specify newspaper Internet - Please specify web page Other

5 7. SUPPORTING STATEMENT This section should be completed by an Academic Adviser at your home university. Student's Name Student Number Is the student in good academic standing? Yes No Please explain Has the student obtained the necessary approval from your institution to study at UTS? Yes No Please explain Will the credit earned by the student in this program be accepted towards the degree by your institution? Yes, provided the student passes each course with a grade of or better. Yes, on the following condition. Please explain No Academic qualifications degrees and diplomas completed: Qualification/Award School/Institution Country Duration of Study Date Completed (Attach certified copies) If relevant, include information about your research experience and, if applicable, your research output (e.g. publications, conference participation etc.). Information to be endorsed by your supervisor as true and correct. Has the student received the necessary approval from your institution to undertake the Visiting Research Students Program at UTS? Yes No Please explain Name of institution UTS Partner Institution Yes No Name of Adviser Approval Signature Date 8. TERMS AND CONDITIONS PREVIOUS STUDIES Certified ENGLISH translations of all documents must accompany this application. The transcripts must show all subjects taken, grades (including failures) and stages reached or qualifications gained. A collection of examination slips is not an acceptable substitute for an official transcript. You must provide full details if you have been excluded or are liable for exclusion from any institution. As there is a long delay at some institutions in obtaining official transcripts you should apply for transcripts as soon as possible. Your application will not be processed unless all necessary information has been provided. ENGLISH LANGUAGE PROFICIENCY You must provide a recent English Language Test score or proof of previous study in English. If your test results are below the acceptable standard, you will not be eligible to study abroad at UTS. Full details on options available to demonstrate English Language Proficiency is available: PAYMENT OF FEES FOR STUDY ABROAD AND RESEARCH STUDENTS The scheduled fee for the first semester s tuition is based on an credit point program of study, is payable upon acceptance of an offer from UTS. Tuition fees for subsequent semesters are due at the start of each semester. Tuition fees are for the current year only and may be subject to annual increase. You will be required to pay the Study Abroad fees applicable to the academic year in which you will be enrolled. REFUNDS FOR STUDY ABROAD AND RESEARCH STUDENTS Refunds will only be considered under the terms of the current UTS Fees Policy for International Students. If you withdraw after you have accepted the offer of a place you may incur a penalty.

6 9. DECLARATION AND SIGNATURE Please sign and return the following declaration. This application form MUST be signed by the applicant. I agree > To abide by the rules on admission, enrolment and progression of UTS. > To inform UTS International immediately of any change to the information I have given in this application form. > To abide by the policy on Intellectual Property I understand > That continued enrolment at UTS is subject to satisfactory progress in my studies. > That UTS may obtain official records from any institution I have previously attended. > That all documents submitted with this application become the property of UTS. > That UTS may vary or cancel any decision it makes if the information I have given is incorrect or incomplete. > That UTS may be required to report to the Australian Government on the progress of my application and/or subsequent student status. > That I am fully responsible for my educational and living expenses while I am enrolled at UTS. I declare that the information I have given in this application form and supporting documents is true and correct and I have personally signed this form. I have attached the following documents in support of my application. [Please Tick] Certified copies of academic transcripts in English Details of exclusion from any tertiary institution A certified copy of English proficiency test results Student Signature Date 10. LODGING YOUR APPLICATION APPLICATIONS must be sent to Study Abroad or Exchange Officer studyabroad.exchange@uts.edu.au OR UTS International University of Technology, Sydney PO Box 123 Broadway NSW 2007 AUSTRALIA UTS will acknowledge receipt of your application by mail. UTS will accept copies certified by the following: > Australian Education Office > Australian Overseas Diplomatic Mission > UTS Authorised Representative/Agent > Public Notary Office > The Administration of the Institute which issued the relevant document(s) > An Australian University (e.g. the UTS Information Service) > A Justice of the Peace in Australia where the registration number is clearly indicated 11. NOTE APPLICATION CLOSING DATES FOR: STUDY ABROAD, EXCHANGE and VISITING RESEARCH STUDENTS Semester 1 30 November Semester 2 30 April > This application is not an enrolment form, nor does it guarantee admission. > There is no charge for this form. AN INCOMPLETE APPLICATION WILL DELAY PROCESSING. LATE APPLICATIONS WILL NOT BE ACCEPTED. 12. UTS FACULTY/SCHOOL/DEPARTMENT FOR PROPOSED VISITING RESEARCH STUDENT to be completed by proposed Supervisor or Faculty contact at UTS for applicants to the Visiting Research Students Program: Name Supervision in field of research identified can / cannot be provided Date(s) of contact with applicant: Signature Telephone UTS:MCU / JOB / february 2011 / UTS CRICOS PROVIDER CODE: 00099F