PERSONAL DETAILS
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Student ID
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First Name
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Preferred First Name
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Last Name
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Email
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Phone Number
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Non-binary/Gender diverse
Female
Male
Prefer not to say
Gender
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Date of Birth
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Australian Citizen
Australian Permanent Resident
International Student
Other
Residency Status
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Citizenship
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Yes Aboriginal
Yes Torres Strait Islander
Yes Aboriginal & Torres Strait Islander
No
Prefer not to answer
Are you of Aboriginal and/or Torres Strait Islander origin?
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Do you have a long-term health and mental health condition, or living with a disability, or carer responsibilities? This question will give us an idea of any extra educational adjustments and accessibility support you may require at the university.
If you would like to specify or discuss with an advisor what support you may need, please email us at advisor4globaled@unsw.edu.au
ACADEMIC DETAILS
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UNSW Program (Code and Name)
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ADA - Art and Design
ADA - Arts and Social Sciences
Business School
ADA - Built Environment
Engineering
Law
Medicine
Science
UNSW Founders
UNSW Canberra
UNSW Faculty
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Undergraduate
Postgraduate
Level of Study
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1st Year
2nd Year
3rd Year
4th Year
5th Year
6th Year
Year of Study
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Weighted Average Mark (WAM)
OVERSEAS PROGRAM DETAILS
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2024 Ewha International Winter College
Korea University’s International Winter Campus (KU IWC) 2024
Think Pacific Fiji Study Tour 2024
UvA Winter Programmes 2025
Zhejiang University Global Program 2024-2025
LAW - Women and Gender Law (ILS Pune - India)
LAW - Law and Technology: Comparative Perspective (UNSW/UZH(
Overseas Program Name
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Country of Program
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Proposed Program Start Date
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Proposed Program End Date
TRANSFER OF CREDIT
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Yes
No
Do you intend to receive academic credit for this short program? Please check you meet the general
eligibility requirements
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Which course/s will you take in this short program? Please enter the course codes or the name of the program.
MOTIVATION
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QUESTION
What are your motivations for attending this program and what do you hope to achieve? (300 words maximum)
FUNDING
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Would you like to be considered for a Learning Abroad Travel Grant? If so, please write a justification on how you will be an ambassador for UNSW while undertaking the program (max. 100 words)
DECLARATION
Learning Abroad Short Program Guidelines
All UNSW students who undertake a Learning Abroad Short program either abroad or virtually, for credit, co-curricular or extra-curricular purposes, are required to a
gree to serve as a positive ambassador for UNSW and abide by the
UNSW Student Code of Conduct
while overseas or if in an online environment.
For all Learning Abroad Short Programs (virtual and abroad), I agree to:
The
UNSW Learning Abroad Short Programs Terms and Conditions
Complete
Pre-Departure Moodle Tutorial
before travelling abroad
For Learning Abroad Short Programs where I will be travelling overseas, I agree to:
Complete the
UNSW Learning Abroad Short Programs Student Travel Approval
Register with G24
and download the phone app
Register with Smartraveller
Check with G24 and Smartraveller travel warnings and advice for the regions that I will be travelling
Check that I have sufficient
travel insurance
Organise a health check and ensure I have necessary immunisations and medications
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Yes
I agree to the above declaration:
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Submit
If you encounter technical difficulties, please contact
the IT Helpdesk for assistance.
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IT Helpdesk Form
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