Study Abroad as part of your King's degree

| Stage 1 of 2

Personal details


First name*
Last name*
Student number*
Gender*
KCL email*
Nationality*

Host Institution


Please list a minimum of three destinations, in order of preference.
Students listing the University of California must list three campuses where their major is taught. This counts as one destination.
Combined honours students in the Modern Language departments, e.g. French & Hispanic Studies, should list at least three partner universities for each half of their year abroad.
i.
ii.
iii.
iv.
Period of study abroad (length of time):*
Identify some modules available at your 1st choice that appeal to you*

Academic Details



Degree course at King’s*
Year of study in 2013/14*
List the names of the two academics at King’s who have agreed to provide a reference for you in the space below. These could be the departmental Study Abroad Tutor, your personal tutor, or another member of staff who has taught you. The first reference should also be provided by the academic, via the reference proforma which will be emailed to the first named referee; the second will only be taken up at a later stage if necessary

Referee 1:
Name:*
Department:*
Email:*
Telephone*

Referee 2:
Name:
Department:
Email:
Telephone