Application for admission Exchange
Academic year 2012-2013
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Deadline registration for studying at HAN during:
Fall semester: 1 June 2012 (25 May for ABS Exchange Course)
(please note: if you need a visa to enter the Netherlands, the deadline is 1 May)
Spring semester: 1 November 2012 (25 October 2012 for ABS Exchange Course)
(please note: if you need a visa to enter the Netherlands, the deadline is 1 October)
1. Personal Identification
1. Student name
Last name:
First name(s):
Initials as in passport:
2. Student Address
Permanent address:
Postal Code + City:
Country:
Telephone number (incl. country code):
Cell phone number (incl. country code):
Email address:
Place of birth:
Date of birth:
Gender:
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Nationality:
Application for admission Exchange 2012-2013
To be warned in case of an emergency:
Name:
Address:
Postal Code + City:
Country:
Telephone number incl. country code :
Cell phone number incl. country code:
Email address:
3. Home Institution
Name of your Home Institution:
Address of your Home Institution:
Name of Liaison Officer International Office:
Telephone number of International Office:
Email address of International Office of your home Institute:
Title of your degree course at home:
Name of the person who is supporting your application:
Date
:
Position :
Stamp
:
Signature:
Application for admission Exchange 2012-2013
4. Course at HAN University of Applied Sciences
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Title of the Exchange course
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Title of the Placement
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Period of Study:
1e semester (August 2012 – January 2013)
2e semester (January 2013 – July 2013)
Full academic year
other from
until
5. Language Ability
Native language:
English language ability:
Beginner
Intermediate
Advanced
Expert
6. Motivation:
Personal or professional interest:
7. Study Costs
I am aware that the basic cost of living (transport, meals) etc in the Netherlands will
be around € 500 per month, accommodation NOT included.
8. Insurance
I am aware that I need to have health insurance, covering urgent medical costs in the
Netherlands.
Name of my International Health Insurance Company :
(Attach a copy of your International Health Insurance card,)
I am aware that I must have a liability insurance that will cover claims if I am to blame
for an accident that injures someone or damages another person`s property.
Application for admission Exchange 2012-2013
9. Accommodation
Arnhem:
Procedures:
Arnhem Business School:
The Faculty of Business Management & Law (Arnhem Business School):
Arnhem Business School guarantees furnished accommodation to all its exchange
students through the housing association Vivare. Information regarding the
accommodation offered to international students and the cost thereof may be found on
their website: www.vivare.nl → international students.
The application procedure is as follows:
1. Register online at www.vivare.nl → international students → application procedure;
2. The deadline for registration is 31 May (for the fall semester) and 31 October (for
the spring semester). The first payment of €750 should be received by Vivare by 15
June for the fall semester and 15 November for the spring semester.
3. Arnhem Business School will approve your application;
4. After Arnhem Business School’s approval, Vivare will request you, by E-mail, to
make a first payment to Vivare of € 750 to secure your application. Payment details
may be found on their website. If you do not receive this E-mail within a week after
your registration, please contact Arnhem Business School to find out if your
application has been approved. When making the payment, make sure to mention
your VIV Number and also take into account that it may take up to 10 days for your
payment to be received by Vivare.
5. Approximately 2 weeks after you have made the payment of € 750 you will receive
confirmation of receipt by E-mail from Vivare. If you have not heard from them after 2
weeks, please fax a copy of the transfer receipt to Vivare’s Financial Department:
+31-26-3550299, mentioning your name and country;
6. The rooms are rented per semester and the balance of the semester price is due in
full on or before arrival in Arnhem.
Refund policy: for cancellation before 15 July (Fall semester) or 15 December
(Spring semester), you will receive a full refund. If the room is cancelled after these
dates the € 750 will NOT be refunded.
Faculty of Engineering
Please contact hj.voortman@han.nl
Application for admission Exchange 2012-2013
Nijmegen:
Procedures:
Faculty of Engineering
Life Sciences
Please contact paul.smeets@han.nl
Faculty of Education and Faculty of Health and Social Studies :
If you participate in an exchange course at the Faculty of Health and Social Studies or
the Faculty of Education, you can indicate below if you wish to reserve a furnished room
with shared kitchen.
Cost per student:
The rental price is €345 per month per student.
In addition students need to pay a registration & administration fee of €26 and
a deposit fee of €150 which will be returned to you if you leave your room clean and
intact.
In order to reserve a room you need to respect our deadline for admission:
Fall semester: 1 June 2012
(please note: if you need a visa to enter the Netherlands, the deadline is 1 May)
Spring semester: 1 November 2012
(please note: if you need a visa to enter the Netherlands, the deadline is 1 October)
I want to reserve a room and I am aware of the costs.
More information regarding the room and the rental procedures will be sent after
admission.
The information that I have filled in is correct and I am aware that only after the selection
procedure is completed I will receive an official confirmation of admission
Date:
Place:
Signature:
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Please attach the following:
Copy of passport or European Identity Card or passport
2 passport photographs (we need 2 photos to prepare your student card.)
Copy of International Health Insurance card
Transcript of Records
Learning Agreement and/or Module Preference form
Application for admission Exchange 2012-2013
Send the application for admission to:
Arnhem :
Arnhem Business School
HAN University of Applied Sciences
Attention Mrs. Ingrid Le Coultre
Postal address
Courier address
PO Box 5171
6802 ED Arnhem
Netherlands
Ruiterberglaan 31
6826 CC Arnhem
Netherlands
Faculty of Engineering
HAN University of Applied Sciences
International Office (Mrs. Wendy Pleket)
Postal address
Courier address
PO Box 5171
6802 ED Arnhem
Netherlands
Ruiterberglaan 31
6826 CC Arnhem
Netherlands
Nijmegen:
Faculty of Education and Health and Social Studies
HAN University of Applied Sciences
International Office ( Mrs. Monique Nederhoed/Mrs. Magda Lichtenberg)
Postal address
Courier address
PO Box 6960
6503 GL Nijmegen
Netherlands
Kapittelweg 33
6525 EN Nijmegen
Netherlands
Faculty of Engineering
HAN University of Applied Sciences
International Office ( Mrs. Arrianne Kersten-Bach)
Postal address
Courier address
PO Box 6960
6503 GL Nijmegen
Netherlands
Kapittelweg 33
6525 EN Nijmegen
Netherlands
Application for admission Exchange 2012-2013