Exchange Application for Short Term Programs

Required fields are marked with an asterisk (*).
Have you consulted with your Academic Course Advisor (ACA) or Director of Academic Program (DAP) about your proposed overseas activity? *
WSU student email only (Student ID then
Date of Birth: *
E.g. Bachelor of Arts
Where you study your degree
Section 2: Support
Section 3: Host Destination
Study Period *
Exchange partners only
Section 5: Conditions
I certify that the information on this application is correct. *
I authorise the release of information regarding my academic record. *
I understand that on becoming a student in this program, I shall be subject to rules, regulations and requirements as to conduct at Western Sydney University, the host institution and host institution residences. *
I understand that if I am involuntarily withdrawn from the program I have the right to appeal to the Pro Vice-Chancellor (International) at Western Sydney University. *
I understand that in providing my personal information to the University, other than as authorised by law, the University will only use this information for the purposes for which it is being collected in accordance with the University’s functions and activities associated with my enrolment. In some instances, the University may need to disclose information to any Government department which administers or has authority regarding education or immigration policy and law and any other Government agencies (State, Territory or Federal), an affiliated entity of the University, or to third parties for the purposes of recovering unpaid University fees or other debts owed to the University. I consent to such disclosure. *
I understand that all information will be collected, stored, accessed and disseminated or destroyed in accordance with privacy, records management and other relevant laws, and the University’s policies. *
I agree that Western Sydney University Go Global and Study Abroad is permitted to provide my university email address, first and last name to The Global Society for the purposes of starting a free membership. A Global Society membership can be cancelled at anytime. I also agree to The Global Society's Terms and Conditions available on their website. *