Application Form – Course Exemption (based on Previously Acquired Qualifications)2015-2016

Student identification / Administration(to be filled in by the Student Administrative Services Centre and by the faculty)
Surname:
First name:
Student number (if you are already registered):
Degree programme (that you (would like to)follow and for which you are applying for an exemption):
Mobile Phone number:
E-mail address (student e-mail if you are registered) :
Date:
Signature: / File received at SA on (date):
File received at faculty on (date):
Date file was resent from faculty to SA (date):
Name decision maker faculty:
Procedure
ATTENTION PLEASE: Make sure to read the procedure carefully on the student portal of the Student Administrative Services Centre:
An exemption request can only be submitted once at the beginning of the academic year. Please enclose the necessary documents before sending your file- incomplete files will not be accepted.
Pleasetick off the boxes in the checklist with the necessary steps and documents below.
O Yousubmit the exemption request(s) online in your ISP (via
O You enclose the following documents in your file:
  • This correctly filled out and signed document.
  • An official list of exam results with the indication of the study load allocated to all courses, expressed in credits/contact hours.
  • Course descriptions/ECTS sheets for all courses for which exemptions are requested or a url to the course descriptions/ECTS sheets (to be inserted in this document).The course description should be of the academic year in which you obtained the credit for the course(s) concerned.
O You submit the application form (in WORD version), with the necessary attachments, to the Student Administrative Services Centre
via e-mail to .

Complete overview exemptionrequests

Please write down for which courses you would to like to request an exemption. Afterwards you will have to fill out a seperate ‘sheet’ for each course (page 3 and 4 of this document).

Info on KU Leuven courses (code, title and credits) can be found via -> programme overview

Code
KU Leuven
course
Ex. HBN14A / Title of KU Leuven course
Ex. Engels I / Credits
(ECTS)

If you would like to request exemptions for more than 1 course, please copy this and the following page for each course.

Info on KU Leuven courses (code, title and credits) can be found via -> programme overview

KU Leuven course
from which I want to be exempted
(to be filled in by the student) / Based on the following obtained credit(s):
Note: more than one course can be mentioned
(to be filled in by the student)
Code
KU Leuven
course
Ex. HBN14A / Title of KU Leuven course
Ex. Engels I / Credits
(ECTS) / Title course and if available url with info on the course / Title study programme
And institution / Academic
year in which credits were obtained / Credits
(ECTS)

The exemption request will evaluate similarities with regard to:

-learningoutcomes

-course content

-course material

Please indicate below, based on (1) learning outcomes (2) course content(3) course material, why you think you are qualified for an exemption from a particular course. It is advisable to refer to your course description (ECTS sheet).

(1)Learning outcomes

Learning outcomes of the course for which the exemption is requested / Learning outcomes of the course on the basis of which the exemption is requested

(2)Course descriptions

Course description of the coursefor which exemption is requested / Course description of the course on the basis of which the exemption is requested

(3)Course material

Give a complete overview of the course material used:

Administration(to be filled in by the Student Administrative Services Centre)

□exemption requested in the ISP□exemption NOT requested in the ISP (remove what is not applicable)

Did the student already take the exam of the course for which exemption is requested? □yes □no (remove what is not applicable)

Did the student already request exemption for this course before? □yes □no (remove what is not applicable)

Decision of the faculty (to be filled in by the faculty)

□Exemption granted□Exemption not granted (remove what is not applicable)

Motivation of the decision in case the exemption was not granted:

Versie 15-16 dd 26/08/2015