College of Science

Study Abroad Application Form

This form should be completed by 2nd Year students in 2017/2018who are interested in a study exchange during the 3rd Year of their programmein 2018/2019.

Please indicate which exchange(s) you are interested in applying for (one or morecan be selected: rank in order of preference 1 to 4):

HKUST(Semester 1)John Carroll University (JCU) (Semester 1)

HKUST (Semester 2)University of California (Semester 2)

Evaluation: Applications will be evaluated by members of the College of Science Internationalisation Committee. Students will be ranked based on their academic grades and their personal statement. Suitable candidates will be shortlisted and invited for interview inlate February/ early March 2018.

Checklist

  1. Check availablemoduleson theHKUST website:

(Students take 12 -18 HKUST Credits in a semester)

Check available modules on the JCU website:

click on “Academics,” then “Class Schedules”)

(Students take approximately 13 JCU Credits in a semester)

Check available modules on the University of California website (10 campuses):

(Students take 14-16 Semester Units in campuses that run on a Semester basis

or approx. 12 Quarter Units per term in campuses that run on a Quarter basis.)

  1. Consult with a coordinator in the discipline you plan to graduate in before submitting this application.
  2. Complete Part 1: Personal Details
  3. Complete Part 2: Pathways/Modules and Grades:List your 1st Year and 2nd Year results. (Please note: Applicants must have anoverall average of 60% at the first sitting in their first year examinations)
  4. Complete Part 3: Proposed Course Selection, based on modules available via the links above.
  5. Complete Part 4: Personal Statement
  6. Part 5: Course Selection: Academic Recommendation – to be completed following offer of a place.

Deadline for Submission of Application:

Monday, 5th February 2018 at 1.00 pm

using subject line: StudyAbroadapplication_Surname_Firstname

PART 1 PersonalDetails

1. / Name (as on passport)
2. / Student ID Number
3. / Nationality
4. / Date of Birth
5. / Degree Programme
6. / Contact Number
7. / Address (out of term time)
8 / Email Address
9. / Emergency contact Name
10. / Emergency contact number

Part 2 Pathway/Module & Grades

  1. Please give modules and results (percentage)taken in 1st year.

MODULE / ECTS Weighting / RESULT (Percentage)
  1. Please give modules and provisional grades in semester 1 of 2nd year.

PATHWAY/MODULE / GRADE
  1. Please state your Pathway preferences for 3rd year.

PATHWAY PREFERENCE

PART 3 Proposed Course Selections

HKUST: Please refer to the Course descriptions and offerings at

(Students take 12-18 HKUST Credits in a semester)

Priority / Course Code / Course Title / Credits
1
2
3
4
5
6
7
8

John Carroll University: Please refer to the Course descriptions and offerings at click on “Academics,” then “Class Schedules”(Students take approx. 13 JCU Credits in a semester)

Priority / Course Code / Course Title / Credits
1
2
3
4
5
6
7
8

University of California: Please refer to the Course descriptions and offerings at

(Students take 14-16 Semester Units in campuses that run on a Semester basisor Students take approx. 12 Quarter Units per term in campuses that run on a Quarter basis.)

Priority / Course Code / Course Title / Credits
1
2
3
4
5
6
7
8

PART 4 Personal Statement (Reason for interest in this exchange)

Please explain in 400 words or less why you are interested in this study abroad exchange. Your statement should cover areas such as:

-the academic justification on why you wish to study abroad ;

-how the exchange will link with your programme of study at NUI Galway;

-Modules identified at host institutions;

-Extra-curricular elements

Applicants signature: ______Date: ______

PART 5Academic Approval: (Only required following the offer of a place)

Name of Applicant: ______

The Applicant is approved for the exchange programme.

The Applicant is not approved for the exchange programme.

______

Name of Academic AdviserSignature of Academic AdviserDate