CRICOS Provider Number 00025B
International Student Application for
Study Abroad or
Incoming Exchange Program
Applicant contact details
2
Phone:
..................................................................................................................
Mobile:
.................................................................................................
Email:
. ...........................................................................................................................
Applicant’s permanent address outside Australia:
Number and street:
..................................................................................................................................................................................................................................................................................................................................................
Suburb/town:
..................................................................................................
State:
...............................................................................................................................................................................................................................................
Post/zip code:
. ...............................................................................................
Country:
.........................................................................................................................................................................................................................................
Applicant’s mailing address
(if different from above)
:
Number and street:
..................................................................................................................................................................................................................................................................................................................................................
Suburb/town:
..................................................................................................
State:
...............................................................................................................................................................................................................................................
Post/zip code:
. ...............................................................................................
Country:
.........................................................................................................................................................................................................................................
Proposed study and commencement date
3
I wish to apply for:
Study Abroad
Incoming Exchange (
Please attach exchange letter from home institution.)
Program commencement:
Semester 1 (February)
Semester 2 (July)
Year:
.....................................
How long will you study at UQ?
6 months
12 months
List the courses in which you wish to enrol:
See the UQ course catalogue online at
www.uq.edu.au/study
for course codes and titles.
Code
Title
Offce use only
............................................................................. . .................................................................................................................................................................................. ......................................................................................................................
............................................................................. . .................................................................................................................................................................................. ......................................................................................................................
............................................................................. . .................................................................................................................................................................................. ......................................................................................................................
............................................................................. . .................................................................................................................................................................................. ......................................................................................................................
Instructions
• Answer all questions in sections 1-11.
• Do not complete this form if you are an
Australian/New Zealand citizen or an Australian
Permanent Resident.
• Print clearly using BLOCK LETTERS and tick
boxes where appropriate. Do not write in pencil.
We cannot consider your application if it is
incomplete or unreadable.
• Please return your completed application and documentation to:
The Manager, Study Abroad and Incoming Exchange Offce
The University of Queensland
Level 2, JD Story Building
Brisbane, Queensland 4072, Australia
Web www.uq.edu.au/studyabroad
Email studyabroad@uq.edu.au
Phone +61 7 3365 7941 Fax +61 7 3365 1794
Home institution:
..........................................................................
............................................................................................................
Institution email contact:
...........................................................
............................................................................................................
A G E N T S TA M P
Empl ID:
......................................................................
Appl ID:
.......................................................................
Offce
use
only
English profciency
4
a) Is English your frst language?
No
Yes
(If yes, move to section 6)
b) If your current level of English language profciency does not meet UQ’s English language entry
requirements and all other entry requirements are met, would you like to receive a Package Offer, which
includes English Language tuition at UQ’s Institute of Continuing and TESOL Education (ICTE-UQ)?
c) Please tick the appropriate box to indicate any English test you have completed within the last two years:
TOEFL
IELTS
Note:
• Test results are only valid for two years from the date of the test. Test results must still be valid the month your UQ degree program starts or they cannot be accepted.
• UQ will not accept institutional TOEFL tests, photocopies or certifed copies of examinees’ TOEFL results. If you have not done so already, you must ask your TOEFL
testing centre to send your offcial results to UQ. UQ’s TOEFL code is 0987.
• If you sat an IELTS test and you can provide an IELTS Test Report Form (TRF) number you do not need to provide an offcial copy of your IELTS results to UQ.
My TRF number is:
..............................................................
• If you sat an internet-based TOEFL test, please indicate your registration number and test date:
Registration number:
. ........................................................
Test date:
..............................................................
No
Yes
If yes, please complete the ICTE-UQ application available
at
www.icte.uq.edu.au
and return with this application.
Personal details
1
Family name:
. ............................................................................................................................................................................................................................
Given names:
............................................................................................................................................................................................................................
Date of birth:
....................................................................................................
Gender:
.......................................................................................................
Country of birth:
. ...........................................................................................
Citizenship:
...............................................................................................
Country of current residence
(country where
you have been living for the past three months)
:
.........................................................................................................................................................
D D / M M / Y Y Y Y