International Student Application Form Universidad Austral

Student's Information

Last Name/s * 🛈

First and Middle Name * 🛈

Gender *

Male

Female

Marital Status *

Single

Married

Divorced

Widow/er

Date of Birth * +

*

	Place of Birth
Town/City	Place of Birth
Country	Place of Birth

*

	Passport Information
Passport number	Passport Information
Expiration date	Passport Information
Country issuing the passport	Passport Information
Country of citizenship	Passport Information
Country of residence	Passport Information

* 🛈

	Address in Home Country
Address	Address in Home Country
City	Address in Home Country
Zipcode	Address in Home Country
Country	Address in Home Country
Phone	Address in Home Country
E-mail	Address in Home Country

Contact at Home University

University *

Exchange Coordinator's Name *

Exchange Coordinator's E-mail *

Phone Number *

Emergency Phone Number *

Office Address *

Emergency Contact Information

Name *

Title *

Relationship *

Phone Number * 🛈

E-mail *

Academic Background

* 🛈

	Home University
University	Home University
Town/City	Home University
Country	Home University
Program/Degree	Home University
School/Faculty	Home University

Level of study at your University *

Bachelor

Masters

Doctorate

Semesters completed * 🛈

* 🛈

	Field 1		Field 2
Field of study

* 🛈

	Grade Average
Grade Average	Grade Average

* 🛈

	Grading Scale
Highest grade	Grading Scale
Passing grade	Grading Scale
Lowest grade	Grading Scale

Academic Period

Semester *

Year * 🛈

Course Selection

Please, fill in the grid below with the courses selected in your Learning Agreement. While some restrictions may apply to some classes, as an international student you can take courses at any of our Schools. Keep in mind that not all courses are available every semester, and that the class schedules are defined short before the start of the semester. Choosing a few extra courses will help you navigate conflicting schedules. The current selection is not binding.

	Course Name	School
1	Course Name	School
2	Course Name	School
3	Course Name	School
4	Course Name	School
5	Course Name	School
6	Course Name	School
7	Course Name	School
8	Course Name	School
9	Course Name	School
10	Course Name	School

Learning Agreement from Universidad Austral *

Learning Agreement from Home University (if applicable) 🛈

Languages

A B2/C1 level is requested for non-native students taking courses in Spanish. We require a certificate with international recognition and taken no more than 3 years before. (DELE).

A B2 level (72 iBT TOEFL / 6.0 IELTS) is requested for non-native students taking courses in English. We require a certificate taken no more than 3 years before.

* 🛈

	First Language		Second Language		Third Language
Language

Language Levels Descriptors (CEFR)

Spanish Proficiency *

English Proficiency *

Spanish certificate (if applicable) 🛈

English certificate (if applicable) 🛈

Health Insurance

Universidad Austral requires that all exchange students are covered by a local health insurance.

The insurance must be obtained prior to arrival in Argentina and must be valid from the first to the last day of the semester.

For practical purposes, the University suggests the plan provided by William Hope, because it has a complete coverage and personal assitance 24/7. The monthly cost for 2020 is: U$D 73

For details on the coverage, please download the Plan Description. For questions about the plan, please contact Fernando Ceccardi: fernando_ceccardi@whope.com.ar. To obtain the insurance, please complete this form

Exchange students who fail to show proof of an adequate health insurance by the first week of classes will not be allowed to enroll at the University.

With a local health insurance you must read, sign and submit the following forms:

In very special circumstances, you may petition for a waiver and apply with an international health insurance. To petition for a waiver you must send proof that the coverage includes the following: medical diagnosis and treatment, preventive medicine, hospitalization, surgery and transplants, dental care, first aid and transportation to a hospital or clinic, medical equipment and appliances, treatment of chronic diseases, paramedical services and repatriation of mortal remains.

With an international health insurance, you must also read, sign and submit the following forms:

To complete the application process,

1) You may also find the forms here

2) Complete them

3) Upload the signed documents here

Emergency Information *

Health Insurance *

Health Responsibility *

Responsibility Agreement

Please, educate yourself about the policies applicable at your University. Take the time to go through the information in Austral's Website and read the Austral Academic Rules before completing this section. You will find the Student Handbook in the website, as well. Keep in mind that you will be subjet to the local legislation during your stay in Argentina. Argentine law may differ from your home country's in different respects.

I am aware of the information in the Academic Rules and Universidad Austral website pertaining academic matters, immigration, health, safety, logistics, etc. *

YES

I acknowledge that I am bound to my home University's and to Austral University's policies and regulations. *

YES

I authorize Universidad Austral to reach the contact person indicated and/or my home University to be better assist me in the event of an emergency. *

YES

I understand this is not a registration form, and that Universidad Austral will send me the corresponding confirmation, namely an acceptance letter, if/when accepted. *

YES

I state that the information in this application is truthful and that the documents attached were issued by the corresponding authorities. *

YES

Photo Release Form

I hereby grant Universidad Austral permission to interview me and/or to use my likeness in photograph(s)/video in any and all of its publications and in any and all other media, whether now known or hereafter existing, controlled by Universidad Austral, in perpetuity, and for other use by the University. I will make no monetary or other claim against Universidad Austral for the use of the interview and/or the photograph(s)/video.

*

Agree

Disagree

Mandatory Documents

Picture (4x4) * 🛈

Passport * 🛈

Academic Transcript (in English or Spanish) * 🛈

Please indicate from the following link in which Argentine consulate you will apply for the Visa: https://www.cancilleria.gob.ar/en/representaciones *