MyGateway

Incoming Exchange Student Nomination Form 24-25

Sending institution information

Name of sending institution (required)

Name of contact person at sending institution (required)

Email address of contact person (required)

Student nominations

We require the following information about the nominated student so that we can create a student record on our system.

(required)

First Name

Last Name

Sex (required)

Date of Birth (required)DD/MM/YYYY

Nationality (required)Student's nationality according to their passport

First line of address (required)Please insert student's permanent home address (not term time)

Second line of address (required)

Town/city (required)

Postal code/ZIP code (required)

Country (required)

Email address (required)Institutional email address preferred

Current year of study at home institution (required)

Programme/field of study at home institution (required)

Programme/field of study at De Montfort University (required)What programme area will the student be studying while at DMU? Please note, students are only able to take modules from one faculty and programme area.

Level of study at home university (required)

Undergraduate

Postgraduate

Exchange period (required)

Semester 1 (Autumn/Fall)

Semester 2 (Spring)

Full year

Thank you for submitting your nomination. If you would like to nominate another student, please complete a new form.