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Application for International Short Term Study or Placement (Travel Grant)

This form can be used for students undertaking a short term study or placement at a university or organisation.

Your application for a travel grant will be assessed against the advertised criteria and following confirmation from your Program Director that you will receive a minimum 4.5 units credit toward your current UniSA program.

Please note this form is for UniSA students only.

Important!
In order for your application to be considered you must ensure that:

  • You meet the following criteria,

    • Grade Point Average (GPA) of 4.0 or above
    • No more than 9 failed units in the program in which you are currently enrolled
    • Undergraduate students - at point of application, completion of at least a minimum 36 units in the program in which you are currently enrolled. Or alternatively, the 36 units can be made up from 18 units in your current program and 18 units from a previous UniSA program. For postgraduate students at point of application, completion of at least 9 units in your current UniSA program
    • Demonstrated empathy and understanding of cultural differences
    • Good health or a manageable condition
    • Approval from your Program Director that minimum credit of 4.5 units toward your current program will be provided on return to UniSA .
  • All sections of the application form are complete.
  • The academic confirmation form is emailed by you to your Program Director for completion.
  • That your Program Director sends the confirmation to UniSA International within two weeks of the submission of your application.


Please note all fields marked with * must be completed in order to submit this form.

Study or Placement Destination and Timing


Country:*  
Name of Institution or Organisation for Placement*
   eg. Chinese University of Hong Kong		  
Name of Study Program*
   eg. International Summer School		  
During:*  
During:*  
Dates of travel:*

 

Your Personal Details


Correspondence will be sent to the mailing address that you have registered in myUniSA.
It is your responsibility to keep your contact details on myUniSA up to date.

Title:*
Family name:*
Given name(s):*
Student ID:*
Home phone:*
Work phone:
Mobile:
Email address:*
Date of birth:
Sex: Male   Female

 

Emergency Contact Person


Emergency contacts are used by UniSA in the event that you are involved in a major incident overseas, or if we urgently require information about your whereabouts or your program and we are unable to contact you.
Name:*
Relationship:*
Address:*
Suburb/city:*
Postcode:*
Home Phone:*
Work Phone:
Mobile:
Email:


Your Current Enrolment Details
 

Program in which you are currently enrolled:*
  eg. Bachelor of Arts (International Studies)
Current Year:*
School:*
Name of your Program Director:
Are you an international student?:* Yes          No

 

UniSA Program Director Confirmation


All students applying for funding of a short term study or placement must arrange for their Program Director to provide confirmation that they will receive a minimum 4.5 units of credit toward their current program.

Please email the confirmation form (see below) to your Program Director. You are responsible for following up with the Program Director to ensure that they submit the academic confirmation form within two weeks of the submission of your application for funding. Your application will not be considered without this confirmation.
 

Program Director Details
Name of Program Director:*  
School:*  
Telephone:*  
Email:*  

 

Program Director Academic Credit Confirmation Form


Please copy and paste this information into an email to your Program Director who will complete the confirmation for you.


Dear ...

Please find below the link to the Program Director Academic Credit Confirmation Form . Please complete this form confirming I will receive a minimum 4.5 units credit towards my current UniSA Program following successful completion of my short term study/placement.

 My details are:

  • Full name
  • Student ID
  • Short term exchange program name
  • Home/Work/Mobile phone
  • Email address


 Academic Credit Confirmation form (staff access only)

 

Student Declaration
 

  • I agree to inform the UniSA International office immediately if there is any change to the information given in this application.
  • I understand that the University of South Australia may vary or cancel any decision it makes if the information I have given is incorrect or incomplete.
  • I declare that the information provided by me in this application is true and complete.* 

Yes   No      

Date:*                                     

 

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