International Exchange UG Application Form - Royal Holloway Student Intranet

Application Form for the International Exchange Programme (Undergraduate)
Please read the guidance notes before completing this form.
Personal Details
Name

First name

Last name
College Email (name version)
Student Number
Nationality
Current Year of Study
Department(s)
Do you have a student route visa? (Yes/No)

Study at Royal Holloway
Please provide an interim transcript of your studies at Royal Holloway. See page 16 of the International Exchange Handbook for details of how to obtain this document.

Educational Background
Give details of the subjects taken and grades achieved for your A-Levels or equivalent studies.
Examinations taken within main subject, with grade and date of award

Choice of Institution
Are you applying to spend:
If you are applying to spend your 3rd year abroad (Placement Year), have you registered on the Optional Placement Year Moodle page? If the answer is 'no', we cannot consider you for the Placement Year.
YesNoNot Applicable

If you are not applying to spend your 3rd year abroad (Placement Year), please select 'Not Applicable'.
Please refer to Section D of the Guidance Notes and list your choice of exchange institution(s) in order of preference. If you wish to apply for California, write the University's name. Do not write the name of a particular campus as it is the University of California which will decide where students are placed. Please see the International Exchange Handbook for subject restrictions which apply to the University of California. You can only study one major there and so this option is not normally suitable for integral year joint honours students. Please number your choices from one to five where one is your highest preference and five is your lowest preference. You do not have to use all five choices.
1

Highest Preference
2
3
4
5

Lowest Preference
Are you willing to consider the opportunity of an exchange year at any of the College’s other partner institutions?
YesNo
Please provide the names of the two current members of RHUL staff whom you have asked to supply a reference (one must be a permanent member of staff) 1
2

Supporting Statement
Please provide a personal statement supporting your application. Use this section to tell us why you wish to participate in the International Exchange Programme. In particular you need to address the academic and social goals that you wish to achieve during your time at your host university. In addition, please outline how you will use your study abroad experience to benefit your RHUL department on your return? Include a separate paragraph for each partner university you have listed on the previous page. There is no word limit for this section but we would expect to see a minimum of 500 words.

Study Plans
Please list the courses you wish to study at each institution; (Refer to online course catalogues if available at each institution). You must include details of specific named courses and the relevant course codes as well as a brief description of why you have chosen these particular courses, how they fit to courses that would be taken at Royal Holloway and making it clear why you are qualified to take these courses

Note: If you wish to take the year abroad as an integral year, your study plans will need to be provisionally agreed by your academic department(s) as fulfilling the requirements of your degree programme. If you wish to take the year abroad as an additional year, please describe your academic aims for the year.

Special Needs
Please give details of any special needs, including any disability or medical condition for which you require specific support. If you have a special need, you are strongly advised to inform the Disability & Neurodiversity Service so that, if you are successful in obtaining a place overseas, they can contact our partner institution and find out what support is available there.
Are you registered disabled?
YesNo

Declaration
Please upload a digitally signed copy of the declaration here

The declaration can be found on the Outgoing International Exchange Students Moodle page.