Name: St Hugh's College
Address: United Kingdom

Name*
First Last
Your email address:*
Degree Course*
Year of Study*
Details of Year Abroad*
Please include dates, location, and study details including details of the university or other institution.
Your Estimate of Costs*
Including travel, accommodation, living expenses, and all other expenses (please provide details)

The information provided on this form will be held in strict accordance with the provisions of the Data Protection Act 1998 and as such will be treated in the strictest confidence, kept securely and not disclosed to third parties, except as set out below. It will be used to determine whether or not the applicant should receive a grant towards the cost of his/her study abroad. Applications will be considered from any St Hugh's College Modern Languages or EMEL undergraduate student required to study abroad for a year as part of their degree. Visiting students and other non-degree students would not be eligible.
I confirm that the information given on this form is accurate. I have read the statement above and agree that this form may be used as described. Signed:*
Date*
DD slash MM slash YYYY
When you submit this form, a copy will be sent to your personal tutor for him/her to endorse your application. Your application will not be processed until your personal tutor's endorsement has been received. Please make sure you have discussed this with your personal tutor.
What is your personal tutor's name?*
Prefix First Last
What is your personal tutor's email address?*
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