Incoming Exchange Student Application Form 2017/18
ERASMUS+ AND INTERNATIONAL PROGRAMMES
INCOMING EXCHANGE STUDENT APPLICATION FORM 2017/18
Please complete this form electronically, ensuring that you have provided all the relevant information requested in each section and ticked the appropriate box below to indicate whether you are applying for an ERASMUS+ or international exchange programme.
ERASMUS+ INTERNATIONAL
Applications for ERASMUS+ exchange programmes should be returned to the relevant School/Departmental Exchange
Co-ordinator (see http://www.lboro.ac.uk/international/erasmus/incoming-student-erasmus/exchange-co-ordinators/.
Applications for international exchange programmes should be returned to Julie Hibbert, Institutional Exchange Co-ordinator
(email ).
The deadline for applications is 15 JUNE 2017 (for admission in Semester One) and 15 NOVEMBER 2017 (for admission in Semester Two).
1. PERSONAL INFORMATION
Family name: ……………………………………………….First name(s): ……………………………………………….
Mr/Mrs/Ms/Miss: …………………………………………… / Date of birth: ….
Sex: .
Nationality: .
Passport no: ………………………………………………...
Please ensure that your passport is valid and that you attach a clear and legible photocopy to your application form.
Home address: ……………………………………………..
………………………………………………………………..
………………………………………………………………..
Tel: …………………………………………………………... / Correspondence address (if different from home address):
….
….
Tel: …………………………………………………………...
Email address (to be shown very clearly):
Name and telephone number of person to contact in an emergency: ……………………………………………….
Special Needs: Please indicate if you have a disability, special needs or a medical condition for which you will require extra assistance and support whilst studying at Loughborough University:
2. YOUR HOME/SENDING INSTITUTION
Name of institution: ……………………………………………………………………………………………………………..Institutional ID code (for ERASMUS+ exchanges only):
Name of School/Department:
School/Departmental Exchange Co-ordinator:
Email address: Tel:
3. LOUGHBOROUGH SCHOOL/DEPARTMENT AND PROGRAMME
School/Department: …………..Programme: …………..
Undergraduate degree level/postgraduate degree level (delete as appropriate)
4. PROPOSED LENGTH OF STUDY
Anticipated date of arrival:
Anticipated date of departure:
5. PREVIOUS AND CURRENT STUDY
Full title of the diploma/degree programme for which you are currently studying: ………………………………………..………………………………………………………………………………………………………………………………………
Current year of study: …………………………………………………………………………………………………………...
Number of higher education study years prior to departure abroad: ……………………………………………………….
6. LANGUAGE COMPETENCE
First language: Language of instruction at home institution:Please state level of qualification in English you currently hold:
IMPORTANT: If you are a non-EU/non-Swiss exchange student applying to study in the UK for more than six months, you will need a Tier 4 (General) student visa (https://www.gov.uk/tier-4-general-visa). As such, you will also need to submit evidence that you meet the University’s English language requirements (http://www.lboro.ac.uk/international/englang/index.htm).
PRE-SESSIONAL ENGLISH LANGUAGE COURSES: If you have not studied English since school, it is strongly recommended that you attend a minimum of five weeks pre-sessional English language course. Please note, however, that these courses are only applicable to Semester One and Full Year students. For further details, please contact the English Language Support Service directly (http://www.lboro.ac.uk/services/elss/).
Please indicate which course you are proposing to attend (if any): ……………………………………………………….
………………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………………
7. PERSONAL STATEMENT
Please write a statement of no more than 500 words, detailing why you wish to study at Loughborough University and why you have chosen your particular programme. Please include a clear explanation as to why you feel that you will gain from the exchange and how the experience will fit with your current studies and future career aspirations.8. ACADEMIC TRANSCRIPT AND LEARNING AGREEMENT
Please ensure that you have attached a certified and official academic transcript and a learning agreement to this application form and tick the boxes below to confirm that you have done this.
ACADEMIC TRANSCRIPT LEARNING AGREEMENT
Applicants should consult the Module Catalogue before completing a Learning Agreement. This can be found under “Module Choice” at the link below:
http://www.lboro.ac.uk/international/erasmus/incoming-student-erasmus/module-choice/
All queries regarding module choice should be directed to the respective School/Departmental Exchange
Co-ordinator. Contact details can be found at the link below:
http://www.lboro.ac.uk/international/erasmus/incoming-student-erasmus/exchange-co-ordinators/
9. SIGNATURES
HOME/SENDING INSTITUTION CANDIDATE
(Institutional/Departmental Exchange Co-ordinator) I hereby apply for admission to Loughborough University:
I support this application:
Name: ………………………………………………… Name: ………………………………………………………….
Signed: ………………………………………………. Signed: …………………………………………………………
Date: …………………………………………………. Date: ……………………………………………………………
FOR LOUGHBOROUGH UNIVERSITY USE ONLYThe above-mentioned student is: provisionally accepted at our institution not accepted at our institution
I confirm that the number of students admitted from the sending institution does not exceed the amount permitted by the current exchange agreement: YES / NO
I confirm that, subject to timetabling restrictions, the Learning Agreement provides full details of the credits to be taken
at Loughborough. Any modules not offered by the host School/Department have been approved by the School/ Department who will provide them: YES / NO
Name of School/Departmental Exchange Co-ordinator: ……………………………………………………………
Signature: ………………………………………………….. Date: …………………………………
The School/Departmental Exchange Co-ordinator should forward the completed application form to the Programme
Quality and Teaching Partnerships Office: Trish Swift (ERASMUS+ exchange programmes) or Yasmin Burgess
(international exchange programmes).
I can confirm that this student should be admitted to Loughborough with tuition fees waived: YES / NO
Institutional Exchange Co-ordinator's Signature: ………………………………. Date: ………………………………..
ERASMUS+ AND INTERNATIONAL EXCHANGE PROGRAMMES
INCOMING STUDENT TRANSCRIPT OF RECORDS 2017/18
Name of Student: ……………………………………………………………………………………………………………….
PLEASE LIST IN THE TABLE BELOW ANY HIGHER EDUCATION COURSES TAKEN TO-DATE. WHEN COMPLETING COLUMNS (1) - (4), PLEASE REFER TO THE EXPLANATORY NOTES OVERLEAF.
code/level /
Title of the course / Duration
of course
(1) / Local
grade
(2) / ECTS
grade
(3) / ECTS
credits
(4)
(To be continued on a separate sheet if necessary /
Total:
Diploma/degree awarded (if any): …………………………………………………………………………………………………
Signature of Registrar/Dean/Administration Officer: ……………………………………………………. .
Date: …………………………………………………….. Stamp of sending institution:
[NB: This document is not valid without the signature of the Registrar/Dean/Administration Officer and the official stamp of the sending institution. Should the student subsequently seek to transfer his/her registration in order to qualify for a Loughborough award, documentary evidence of previous academic performance will be required.]
EXPLANATORY NOTES
(1) Duration of course unit:
Y = 1 full academic year
1S = 1 semester 2S = 2 semesters
1T = 1 term/trimester 2T = 2 terms/trimesters
(2) Description of the home/sending institution’s grading system:
(3) For ERASMUS+ exchanges only, the ECTS grading scale is as follows:
ECTS / DefinitionA
B
C
D
E
FX
F / Outstanding performance with only minor errors.
Above the average standard but with some errors.
Generally sound work with a number of notable errors.
Fair but with significant shortcomings.
Performance meets the minimum criteria.
Some more work required before the credit can be awarded.
Considerable further work is required.
(4) ECTS credits:
1 full academic year = 60 credits
1 semester = 30 credits
1 term/trimester = 20 credits
2