UNSW Learning Abroad | Short Term Application Form

PERSONAL DETAILS

Student ID

First Name

Preferred First Name

Last Name

Phone

Date of Birth

Citizenship

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

UNSW Program (Code and Name)

Weighted Average Mark (WAM)

OVERSEAS PROGRAM DETAILS

Country of Program

Proposed Program Start Date

Proposed Program End Date

TRANSFER OF CREDIT

Which course/s will you take in this short program? Please enter the host university course codes or the name of the program.

MOTIVATION

QUESTION
What are your motivations for attending this program and what do you hope to achieve? (300 words maximum)

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

I acknowledge and understand:

As a UNSW student undertaking a Learning Abroad Short program either abroad or virtually, for credit, co-curricular or extra-curricular purposes, I am required to agree 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.
The UNSW Learning Abroad Short Programs Terms and Conditions.
I give consent to UNSW to disclose my personal information to international SOS who are acting on behalf of UNSW as our International Emergency response service.

Regarding my travel, I agree:

to complete the compulsory pre-departure briefing E-Learning modules in the Preparing for your time abroad Tutorial modules before travelling abroad.
UNSW will provide an outcome on my ability to travel..
If I am not approved to travel, I will be withdrawn from my Learning Abroad Program.
If my travel is approved, I am required to register with International SOS, UNSW’s emergency and medical services provider for students overseas, throughout my Learning Abroad Program.
If my travel is approved, I am required to purchase return ticket.
UNSW has the discretion to deny or rescind my travel approval if destination is deemed high risk.
I may not be covered by UNSW insurance if my travel is not approved or the DFAT Advice Level of my destination changes to Level 3 or 4.
I will implement the appropriate precautions or mitigations to maintain my safety and wellbeing.
I will read and understand the SmartTraveller and International SOS advice for the destinations.
I will download the International SOS Assistance App on my phone.
I will register with Smartraveller.gov.au for up-to-date travel advice on my destinations.
I will check with International SOS and Smartraveller travel warnings and advice for the regions that I will be travelling.
I will check that I have sufficient travel insurance.
I will organise a health check and ensure I have necessary immunisations and legal medications.

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