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					                   Application for Admission as a Non-Graduating Student


Please read the Notes For Applicants before completing this application.

Please complete this form electronically. If you are unable to do so, please ensure that you complete
it using BLOCK CAPITALS.

SECTION 1: MODE OF ATTENDANCE


Mode of study at St Andrews:                                    Please select:
Academic year of study at St Andrews:                           Please select:
Period of study at St Andrews:                                  Please select:
Name of University/College you currently attend:
Study Abroad applicants only:
Will you attend through a Study Abroad Provider?                Please select:
If yes, which provider?                                         Please select:


SECTION 2: COURSE SELECTION


Faculty you are applying to:-                                   Please select:

Please state here the Subject choices, and the specific modules you hope to follow at St Andrews:
(Please note that we cannot guarantee your enrolment in these modules)

    Subject                Module                           Title of Modules            Credit Amount
                          Numbers




 SECTION 3: PERSONAL DETAILS

 Gender:                                                       Please select:
 Last/Family Name:
 First/Given Name(s):
 Preferred First Name:
 Date of Birth:     (Day-Month-Year )                                   Please select
 Title:                                                        Please select:
 Nationality (please state if you have dual nationality):
 Country of Birth:
 Country of Permanent Residence for past 3 Years:
 Passport Number:
 Name shown exactly as in passport:


                                                            -1-
SECTION 4:
PERMANENT HOME ADDRESS
Address Line 1
Address Line 2
Address Line 3
City, State/Province
Country
Postcode/Zipcode/Region Code
Home Telephone:

Mobile/Cell Telephone:

Email (please print accurately)


CONTACT ADDRESS (if different from
above)
Address Line 1:
Address Line 2:
Address Line 3:
City, State/Province
Country
Postcode/Zipcode/Region Code
Home Telephone:
Mobile/Cell Telephone:
Email (please print accurately)


SECTION 5:
EDUCATION HISTORY
Name of Current University/ College
Address - Line 1:
Address - Line 2:
Address - Line 3:
City, State/Province
Country
Postcode/Zipcode/Region code
Telephone
Fax
Month & Year of Entry (mm/yyyy)
Study Abroad Advisor (if applicable)
                     - Name
                     - Telephone
                     - Email

Name of previous University/College
(if applicable)
State/Province, Country
Dates of Attendance


                                       -2-
Name of most recent High School
attended:
State/Province, Country:
Dates of Attendance:

  If you have a Study Abroad Advisor, please check this box if you do NOT want details of the
  outcome of your application passed directly to this person or your college.

Please note that study abroad providers (for example, Butler, Arcadia, USAC etc) and exchange
partner universities are automatically given application outcomes.


SECTION 6: EDUCATIONAL DATA

Please state your overall average grade (e.g. GPA) :

Please state your intended degree/major (if known):

English Language Proficiency (Please complete only if your current degree is not instructed or
examined in English)

 IELTS                   Score:
                         Test Date:
 TOEFL                    Score:
                         IBT or CBT:        IBT
                         Test Date:
 OTHER


SECTION 7: REFERENCE DETAILS

 Name:
 Occupation/Relationship to Applicant:
 Address – Line 1:
 Address – Line 2:
 City, State/Province:
 Country:
 Postcode/Zipcode/Region Code:
 Telephone:
 Email:



SECTION 8: ADDITIONAL INFORMATION

1. Please state who will be responsible for the payment of:

          Tuition Fees                                   Please select:
          Accommodation Fees                             Please select:


2. Do you have a disability? (If yes, please describe on a separate sheet)

       Disability code                                   Please select:


3. Do you have a criminal conviction?                  Yes         No
   (If Yes, please describe on a separate sheet)
                                                       -3-
4.
         Ethnic origin                                    Please select:

5. What are your plans after graduation?

6.   What made you choose to study at St Andrews? Please select:
     Other reason. Please specify:


PERSONAL STATEMENT

Please write a brief statement about your interest in the subjects you wish to study and of your
reasons for wishing to study at The University of St Andrews (maximum of 400 words)




DECLARATION

        I declare that the information I have provided is accurate to the best of my knowledge.


CHECKLIST

Have you included:

1)   Application
2)   Official academic record/transcript of grades
3)   Translation of your record/transcript (if it is not in English)
4)   One academic reference
5)   English Language Certificate (if your current degree is not instructed or examined in English)

Please send to us only those items listed above.


If possible, please send your complete application electronically to: studyabroad@st-andrews.ac.uk

If this is not possible, we are happy to receive your application by mail sent to the following address:

Exchanges & Study Abroad
The University of St Andrews
St Katharine’s West
16 The Scores, St Andrews
Fife, KY16 9AX
Scotland, UK




                                                       -4-

				
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