Application deadline: 15. April for Fall semester, 15. October for Spring semester

Назва	Application deadline: 15. April for Fall semester, 15. October for Spring semester
Дата	30.06.2012
Розмір	28.84 Kb.
Тип	Документи

Зміст

Period of Exchange and scholarship/programme
Home institution and present studies
Study information

Return by post: Stord/Haugesund University College

International Office

Bjшrnsonsgate 45

5528 Haugesund

Norway

Return by e-mail: international.office@hsh.no

Application Form - Exchange Student

Application deadline: 15. April for Fall semester, 15. October for Spring semester.

Personal data

Surname/Family name:		First (and middle) name(s):
Date of birth (dd/mm/yy):		Gender (female/male):
Nationality:		Telephone/mobile:
Email:
Current address (valid until: ):
Postal code:	City:		Country:
Permanent address (if different from current address):
Postal code:	City:			Country:

^ Period of Exchange and scholarship/programme

Academic year 2012/2013	Fall semester 2012	Spring semester 2013
Length of stay:

Scholarship/programme

LLP Erasmus

Nordplus

Bilateral

Other

^ Home institution and present studies

Name of home university:	Department:
Institutional contact person:	E-mail:
Study programme:	Year of enrollment:
The year of studies you are currently in:	Expected graduation (mm/yy):

^ Study information

Faculty and study program you propose to study at Stord/Haugesund University College:
List the courses you intend to take (course code and title):
1.	2.
3.	4.
5.	6.
7.	8.
9.	10.

Language proficiency

Knowledge of English?
	Poor	Fair	Good	Native speaker
Reading
Writing
Speaking
Are you currently studying English: Yes No
Have you taken an internationally recognised proficeincy test in English? If yes, state test date and result.

Documentation

Necessary additional documents

Transcript of records from home institution
Learning agreement
Copy of picture page of passport or valid identification card
Application for housing

Signatures

Student’s signature:

Date:

Signature on behalf of the Home Institution: I hereby certify that this student has been approved by the home university for studies at Stord/Haugesund University College.
Name:
Title:
Signature:	Date and stamp:

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