Applicant Details

Title	Full Name	Student No
Course	Current Year of Study	Course Start (Month Year)	Expected Graduation (Month Year)

In your own opinion, how will the exchange experience benefit your studies and personal development?

Please detail any challenges that you envisage you will have to overcome to complete this exchange.

Please provide an estimated breakdown of any other sources of funding that will support your exchange. Please do not include any loan or grant support for tuition fees.

Total For Entire Exchange
Student Loan (please specify the funding source, e.g. SAAS)	£ 00.00
Student Bursary (please specify the funding source, e.g. SAAS)	£ 00.00
Grant Funding (please specify the funding source, e.g. Erasmus)	£ 00.00
Personal Savings	£ 00.00
Support from Family	£ 00.00
Other (please specify)	£ 00.00
Total Estimated Funding	£ 00.00

Please tick the statements below and sign to confirm:

I understand that I must contact the Global Mobility team (studyabroad@napier.ac.uk) if the details of my exchange change in any way after the closing date.

I have read the Quick Guide to Student Travel document and have understood the University's guidance to the necessity of carrying out a risk assessment.

I have read Edinburgh Napier University’s Privacy Policy and understand that the information I provide will be used by the University to process my application in relation to the Santander Universities Mobility Scholarship and for reporting purposes.

Signature …………………………………………………………………..	Date ………………………………
Submitting your application

Once completed, please send your application by email to development@napier.ac.uk by midnight, Tuesday 30th April 2019