SAAppForm 2021 - Edge Hill International

Study Abroad Application Form

Please complete your full name as it appears on your passport

First Name *

Middle Name

Family Name *

Date of Birth *

Gender *

Nationality *

Email Address *

Home Address Details

Home Address, Line 1 *

Home Address, Line 2 *

City/State *

Postal/Zip Code *

Country *

Mobile/Cell Phone Number

Your address while living at your home institution, if applicable

Home Institution Address, Line 1

Home Institution Address, Line 2

City/State

Postal/Zip Code

We will send your student visitor letter to your home address unless you advise otherwise

Home Institution Details

Home Institution *

Current Course of Study *

I confirm that my Study Abroad Advisor has approved my application *

Fee payment arrangements

I will be paying my own fees

My institution is paying my fees

If English is not your first language and you are not taught in English at your home institution, please provide details of any English Language qualifications you have.

Module choices

It is important when selecting your module choices that you choose modules that are available during the semester(s) that you are here. All selected modules must be approved by your home institution.

Click Here to view the Study Abroad Module catalogue, please note that whilst every effort has been made to ensure the catalogue is up to date all modules are subject to change. Please read the guidance at the start of the catalogue.

In preference order, state the modules you have selected to study at Edge Hill University.

Module Code, Choice 1 *

Module Title *

Is this Module compulsory?

Module Code, Choice 2 *

Module Title *

Is this Module compulsory?

Module Code, Choice 3 *

Module Title *

Is this Module compulsory?

Module Code, Choice 4 *

Module Title *

Is this Module compulsory?

Module Code, Choice 5 *

Module Title *

Is this Module compulsory?

Module Code, Choice 6 *

Module Title *

Is this Module compulsory?

Module Code, Choice 7

Module Title

Is this Module compulsory?

Module Code, Choice 8

Module Title

Is this Module compulsory?

Do you have any disabilities or medical conditions? ✱

Yes

No

Please provide full details

Do you have any criminal convictions? ✱

Yes

No

If yes, please provide full details

The next step is for you (or your study abroad advisor), to email internationaladmissions@edgehill.ac.uk with the following:

► a statement of purpose (no more than 500 words)
► an academic reference
► a copy of your most recent academic transcript (officially translated in English if applicable)
► a copy of the biometric page of your passport

Ways we can contact you

We would also like to stay in touch with you from time to time about things that we think might interest you including, but not limited to, University news, course information, and student life. If you choose not to tick any boxes, this means that you have opted out of communications from us and you might miss some interesting information in the future.

Email (this is our main method of communication)

Phone

Post

SMS

Edge Hill University will process the data that you provide on this form responsibly and in full accordance with the General Data Protection Regulation.

We respect your privacy and your personal data will not be shared with any third party organisations for marketing purposes.

Read our full Privacy Notice for more information about how we responsibly and securely process your data.

I agree to the processing of the data provided in accordance with Data Protection Legislation*

Study Abroad Application Form

Ways we can contact you

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