Lifelong Learning Programme ERASMUS APPLICATION FORM INSTRUCTIONS: This application MUST BE TYPED PHOTO Department: Course of Study: Level (Ug/Pg/PhD): Academic Year: LENGTH OF STAY: Semester 1 Semester 2 Both Surname: First Name (s): Home University: Title of Current Course: (Example:. BA/BSc/MSc in Psychology) What is your current level of study: Year 1 Year 2 Year 3 Other (delete as appropriate) Date of Birth (day/month/year): Age: Gender: Male / Female (delete as appropriate) Nationality: Country of Birth: Current Mailing Address or Term Time address: Mobile: E-mail: Permanent Home Address if different from above: Mobile: E-mail: 1
Do you have any physical or other disability which might necessitate special arrangements or facilities? Yes No If YES, it would be helpful if you could forward details of your disability. We are obliged to consult the University s Disability Office, who may contact you, if appropriate. ACCOMMODATION Information regarding halls of residence and an application form is available on the website: www.bradford.ac.uk/accommodation. The completed form must be sent to the Accommodation Office at the University of Bradford. Please answer ONE of the following: I have applied for university accommodation. I have not applied and would like you to send me information I am arranging private accommodation. Please note: Accommodation cannot be guaranteed. MODULE CHOICES Please list the modules that you wish to study on the attached learning agreement. You can request a list of modules from the International Office internationaloffice@bradford.ac.uk or the department where you will study if you are not able to find the list on the website. Note: Only use the module catalogue to look up descriptions of the modules. Some modules listed in the catalogue may not be available to exchange students. The module catalogue is available at: http://modcat-view.cen.brad.ac.uk:7777/pls/modv/emodcat.module_catalogue Module choices can be finalised when you arrive in Bradford but you must have the approval from your home institution. Please note that the Learning Agreement should be signed by your home institution. ENGLISH LANGUAGE QUALIFICATION (IELTS, TOEFL or equivalent) Please give details below of your English language ability and enclose a copy of your test certificate or letter from your University confirming your ability to take classes in English. 2
CONTACT DETAILS FOR SENDING THE TRANSCRIPT IMPORTANT: Please check with your department or International Office before completing the following section, it is imperative that we have the accurate information. On completion of my studies, the transcript with my examination results should be sent to the following person at my home University. Name: Title: Department: Address: Fax: This section should be completed by your academic adviser CERTIFICATION I approve this Erasmus study placement Name of the Departmental Coordinator: Signature of Departmental Co-ordinator: Checklist Learning agreement Transcript English language certificate or equivalent Copy of Passport Passport Size Photograph Signature of Student: Please return this form with required documents to: Institutional Erasmus Co-ordinator The Hub International Office University of Bradford BRADFORD BD7 1DP, UK E-mail: International-office@bradford.ac.uk, Fax: +44 1274 235953 3
Name of student: Sending institution: Country: ECTS - EUROPEAN CREDIT TRANSFER SYSTEM LEARNING AGREEMENT ACADEMIC YEAR 20 /20 - FIELD OF STUDY:... DETAILS OF THE PROPOSED STUDY PROGRAMME ABROAD/LEARNING AGREEMENT Receiving institution: Country: UNIVERSITY OF BRADFORD (UK BRADFOR01) UK Course unit code (if any) and page no. of the information package Course unit title (as indicated in the information package) Number of ECTS credits if necessary, continue the list on a separate sheet Student s signature SENDING INSTITUTION (Home University) We confirm that the proposed programme of study/learning agreement is approved. Departmental coordinator s signature Institutional coordinator s signature.. RECEIVING INSTITUTION (Host University) We confirm that this proposed programme of study/learning agreement is approved. Departmental coordinator s signature Institutional coordinator s signature............ 4
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