Application for a Research Exchange Programme

This form should be completed just once.

All fields should be completed.

If you have any further questions related to this, please contact Vali Pappa.

Application for a Research Exchange Programme

Given name
Family name
Title
Date of birth (DD/MM/YYYY)
Gender
Email
Permanent home address

Address Line 1

Address Line 2

City

County

Postcode

Country
Permanent home telephone
Contact address

Address Line 1

Address Line 2

City

County

Postcode

Country
Contact telephone
Nationality
Dual nationality (if applicable)
Country of birth
Country of permanent residence
Current institution
Department at LSE you are applying to?
Name of LSE academic member of staff with whom you have discussed your application
Intended start date at LSE (DD/MM/YYYY)
Intended end date at LSE (DD/MM/YYYY)
LSE programme of study you will be undertaking
Previous (most recently) completed degree title
Start Date (DD/MM/YYYY)
Date of completion (DD/MM/YYYY)
Degree institution
Country of Previous Institution of Study
Additional notes regarding degree title
Overall grade obtained
Is English your first language?
Was your previous degree taught entirely in English?
If yes, and there is a webpage available confirming this, please give the URL here:
If no, I have taken/will take the IELTS/TOEFL test on:
Listening
Writing
Reading
Speaking
Total/Overall score
IELTS TRF number/TOEFL registration number
Monitoring information
The UK Higher Education Statistical Agency (HESA) requires that we independently request the following information:
Have you ever started a course at a UK university before?
Educational background
If Other, please provide full qualification title
Disability
Ethnic origin
What is your religion?
What is your sexual orientation?
Is your gender identity the same as the gender you were originally assigned at birth?
Have you had a criminal conviction?

To help LSE reduce the risk of harm or injury to our students caused by the criminal behaviour of other students, we must know about any relevant criminal convictions that an applicant has. Relevant criminal convictions are only those convictions for offences against the person, whether of a violent or a sexual nature, and convictions for offences involving unlawfully supplying controlled drugs or substances where the conviction concerns commercial drug dealing or trafficking. Convictions that are spent (as defined by the Rehabilitation of Offenders Act 1974) are not considered to be relevant and you should not reveal them. For further information about this subject see http://www.lse.ac.uk/study/graduate/applicant/criminalconvictions.aspx. Please note that consideration of criminal convictions is separate to the assessment of your academic suitability.
Your privacy
Your right to privacy is important to us. The personal information that you submit in this form will be used to process your request. Please visit lse.ac.uk/privacy to read our Privacy Policy and learn more about how we collect and use information about you so that you can make an informed choice about using our website.
By checking this box you confirm that you have read and agree to our Privacy Policy