Image goes here International Exchange Postgraduate Application Form International Exchange Postgraduate Application Form International Exchange Programme Postgraduate Application Form Please read the guidance notes before completing this form. Family Name Given Names (in full) College Email Nationality Department(s) Current Year Of Study Next Page Current Study at Royal Holloway Please give details of your current programme of study, including a brief statement about the nature of your research topic / dissertation work Previous PageNext Page Undergraduate and Previous Postgraduate Education Please give details of your previous university -level education (degree titles, dates, final awards, institution). Previous PageNext Page Choice of Institution Please refer to 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. You can make up to five choices, (1 being first choice). If you do not wish to use all five choices, please leave the box blank. 1 First Choice 2 3 4 5 Lowest Preference Please provide the name of the permanent academic member of staff who you have asked to supply a reference. Are you willing to consider the opportunity of an exchange year at any of the College’s other partner institutions? YesNo Previous PageNext Page Motivation Use this section to tell us why you wish to participate in the International Exchange Programme. How do you feel you could benefit personally and academically from the exchange? What are 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 previously listed. Upload Please use word or similar to produce your response and upload the file here. Previous PageNext Page 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 and Dyslexia Services 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. Enter n/a if you have no Special Needs. Are you registered disabled? YesNo Previous Page Submit Header Here Text here