Outbound Exchange Application Form

Outbound Exchange Application Form

Your Personal Details
What is your citizenship or residence status? Please choose one option only. *

Current Enrolment Information

Your Contact Details

Your information for correspondence purposes

Emergency contact (in Australia)

Exchange Program Information

Include what you hope to achieve, challenges you think you will face and how you predict your overseas experience will affect your academic, personal and career goals.

Exchange Institution – First Preference

Exchange Institution – Second Preference

(will only be contacted if first preference is unavailable)

Financial Plan

You must ensure you have adequate funds for your exchange. The following section is to be completed with your best available information.

Estimated available funds

(e.g. family, approved loan, grants etc.)

(e.g. Youth Allowance, UMAP, Endeavour etc.)

Estimated expenses

(e.g. food, transport, bills etc.)

Student Participation Agreement

Checking the boxes below indicates that:

  • I have read and understand the information
  • I voluntarily agree to the conditions

I understand that an essential part of the Exchange Application is obtaining Academic Approval for subjects I wish to enrol in at the host institution. It will be my responsibility to research subjects offered at the host institution and provide any documentation necessary to my JCU Academic Advisor and Faculty Registrar for approval. Please have your Faculty Registrar approve the International Exchange Credit Approval form. *

I will get one reference from any of my JCU lecturers throughout my studies at JCU and regardless of what I will be studying overseas using the Academic Reference form. (You may leave the form with your referee and he/she can complete the form and return it directly to the Student Mobility Office.) *

  • I understand that an essential part of the Exchange Application is obtaining Academic Approval for subjects I wish to enrol in at the host institution. It will be my responsibility to research subjects offered at the host institution and provide any documentation necessary to my JCU Academic Advisor and Faculty Registrar for approval. Please have your Faculty Registrar approve the International Exchange Credit Approval form.
  • I acknowledge that I am required to take the equivalent of a full-time study load for the duration of my exchange program.
  • I accept responsibility for ensuring that my study plan at my host institution is approved by my faculty. I understand that any changes to my study plan whilst on exchange must be approved by JCU.
  • I understand that credit for study undertaken at the host institution is granted for degree purposes only. It is my responsibility to ensure the acceptability of these subjects for professional accreditation purposes.
  • I will notify JCU of any form of physical, learning or emotional disability for the purposes of arranging support services at my host institution. However, I understand that JCU is not able to guarantee support services at the host institution.
  • As an ambassador for JCU, I will behave appropriately and act responsibly whilst on exchange. I will comply with JCU’s Student Conduct Policy and with the laws, rules and regulations of my host country and institution. I understand that JCU has no obligation to assist in the event that I break the laws of my host country.
  • I understand that JCU reserves the right to change or terminate my exchange program if I fail to remain enrolled fulltime, if I fail to maintain minimum academic standards as defined by JCU and my host institution, if I am found in violation of laws and regulations of my host country or institution, or if the continuance of my exchange placement places in jeopardy JCU’s reputation, my safety or well-being.
  • I understand that my exchange placement will be limited to the period specified on my offer letter. Any request for an extension of this period must be made to JCU Student Mobility Office.
  • I accept responsibility for the payment of expenses and debts incurred by me whilst participating in the exchange program, including but not limited to HECS fees, travel, visa and accommodation expenses, and insurance costs.
  • Should I choose to withdraw from the exchange program, I will inform JCU Student Mobility Office immediately. I will return any financial assistance or scholarships paid to me to participate in the exchange program.
  • I agree that I am responsible for obtaining the required visa or entry documents prior to my departure.
  • I agree that I am responsible for obtaining the necessary medical insurance stipulated by JCU for the duration of my participation in the exchange program. I agree that I am responsible for obtaining any vaccinations required by my host country and appropriate travel insurance prior to departure.
  • I consent to the transfer of academic and personal information to my host university that is relevant to my exchange placement. I agree that JCU may give out my email address to other students so that they may contact me for information on my exchange.
  • I agree to regularly check my JCU email account whilst on exchange.

I agree to accept a placement in JCU’s Exchange Program on the above conditions: *

How did you find out about the Global Mobility outbound exchange program? *