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Application for International Study Tour (Travel Grant)

This form can be used for students undertaking a UniSA arranged study tour as part of a group.

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:

  • 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 Study Tour:*
   eg. School of Natural & Built Environments Planning Study Visit
 
Name of Institution or Organisation for Placement (if applicable):
   eg. University Sains Malaysia
 
During:*  
During:*  


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

 

Student Declaration
 

  • I agree to inform the UniSA International office immediately if there is any change to the information I have 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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