Inbound students Study Abroad and Exchange at the University of Melbourne

Online Mobility Registration and Travel Grant Application

This form is for students seeking approval to study overseas on a credit-bearing independent study abroad program or on a University of Melbourne overseas subject. It will also mean you will be considered for Melbourne Global funding.

Please submit this form at least 6 weeks before you depart. You should only apply ONCE for each period of time you will be away but separately for each course/subject you are doing overseas. For example, you want to do Searching for the American Dream in June followed by a German intensive course at either Universität XXX or at Universität YYY in July. You must register to do Searching for the American Dream in June and register separately for the German course in July but only once for the German course when you have decided at which university you will do the course.

If you are applying for a School of Languages Scholarship you must apply directly to the School of Languages which can be done on their website. Please DO NOT use this form.

Study Options

Please tick one *
Independent Study abroad for credit (independently organised study trip at an overseas institution)
Approved UM overseas subject which contains an overseas component (e.g.: The Graeco-Roman City in Antiquity, clinical placements, internships, and travelling studios)

Personal Details

University of Melbourne Student ID *
*
Family Name *
Email *(Please provide your unimelb email address)
Gender *
Female     Male
Date of Birth *
Contact Phone Number *(preferrably mobile number)
Please select what type of student you are *
Graduate coursework
Undergraduate coursework
Please indicate if you are a
 Chancellor's Scholar
 Kwong Lee Dow Young Scholar
 Lin Martin Melbourne Global Scholar
 Melbourne Global Scholar
KLD Year 
To which course do you want this study to count?
You must nominate the faculty to approve this form who will be granting you the credit. For example if you are a Commerce student but the study listed here is for your breadth in history, the credit will be awarded by the Faculty of Business and Economics so you must nominate them to approve this study overseas. Another example is when you are studying a Bachelor of Science and a Diploma of Languages and this overseas study is in languages, the approval will be from the Faculty of Arts who award credit for diplomas of languages.
Faculty *
Course *(e.g.: Bachelor of Arts, Master of Environments)
Other course *(e.g.: Diploma of Languages - if not doing any, please write "None")
Expected completion date of course *

Eligibility

You must meet the following criteria in order to be approved to participate in the independent study abroad program (please tick 'Yes' or 'No'): *

Program Details

Program/Subject Name *(e.g.: Study Abroad Searching for the American Dream or China Field Trip)
Subject Number * (if unknown please type 'unknown')
Faculty *
Number of University of Melbourne points for credit *
Overseas Institution *
Country of Program *
Study Commencing *
 
Study Ending *
 
Date of Departure from Australia *
 
Date of Return to Australia *
 

Please download the Proposed Study Plan for Study Abroad and return to your Student Centre (contacts can be found at: http://www.mobility.unimelb.edu.au/outbound/exchange/advisors/index.html )

Emergency Contact Information

Name *
Relation to you *
Phone *
Email *
Address *

Scholarships Eligibility

In addition to the above criteria, you must meet the following criteria in order to be considered for MGM fundingYou must meet the following criteria in order to be considered for MGM funding (please tick 'Yes' or 'No'): *

Will you be receiving faculty credit for your overseas study program, or will you be completing a hurdle requirement?

Yes     No 
Have you completed 75 points (undergraduate students) or 37.5 points (graduate coursework students)?

Yes     No 
Have you already received an MG Grant or a Melbourne Global Languages Scholarship?

Yes     No 
Will you be travelling to a country for which the Department of Foreign Affairs and Trade (DFAT) advises 'not to travel' or 'reconsider your need to travel' (see http://www.smartraveller.gov.au)?

Yes     No 
Have you achieved a minimum of 65% weighted average over your entire course to date?

Yes     No 

Privacy Statement

Information collected in this registration is for the purposes of approving students to study overseas, for recording where they will be studying for safety purposes, and for the awarding of Melbourne Global Mobility funding in conjunction with Melbourne Scholarships. Except as required or authorised by law, this information will be for the use of your student centre, Melbourne Global Mobility (telephone: 8344 7452) and Melbourne Scholarships (telephone: 8344 8747) for these purposes only and will be protected against unauthorised access and use. If you do not provide this information, you may not get the full benefit of the Melbourne Global Mobility program.

The University has a Privacy Officer whose website is at www.unimelb.edu.au/unisec/privacy/. It contains the University’s Privacy Policy and provides detailed information about the contact details, complaints procedures and other aspects of the University’s privacy regime. If you have an enquiry about how the University deals with personal information or wish to access any personal information the University holds about you, please contact the University’s Privacy Officer (privacy-officer@unimelb.edu.au).

Student Declaration

  I declare that the information presented in this application and the accompanying documentation is true and complete. I acknowledge that the University of Melbourne may terminate my application or nomination for a Melbourne Global Grant if I have misrepresented my past and/or present circumstances. I authorise staff of the University to make relevant enquiries to verify my application.

Permission to distribute your contact details

  I give authority for the Melbourne Global Mobility staff to supply my name and email details as above to other students associated with or interested in the Melbourne Global Mobility Program.