Exchange student
Application Form 2014-2015
Please insert
passport size
photograph
here
1st semester deadline: April, 15th
2nd semester deadline: Oct, 15th
1.Personal data: (please print)
Please write in CAPITAL letters! Thank you.
Title (Mr or Ms)
Surname / Family Name (s):
First name(s):
Nationality indicated on passport:
Sending Home University:
Date of birth: (ex: day-month-year)
Place of birth (Town + Country):
Passport number:
Issued at:
Valid until:
Tel:
Private Email:
Personal and permanent address:
Street
Town
Postal Code
Country
2. Sending Home Institution:
Name of Institution
Campus of sending university:
Faculty of sending university:
International Coordinator
Email
Telephone
+ (country code)
Fax:
+ (country code)
Tutor / Professor
Email
+ (country code)
Telephone
3. Health or Travel insurance:
 I have read the French Health Care Coverage chapter in the student guide. YES
□Please tick
 For European students:
Social Security N°
(EU only)
 For non-European students:
You might also have to justify a private insurance when you apply for your French VISA but this is an
extra cover and is not a substitute for the French Health Care Coverage (211 euros in 2013/2014)
The French Health Care coverage is compulsory if you’re studying or working in France for more than
3 months. Please refer to the student guide.
4. Emergency contact
Next of Kin
(Mr / Ms NAME, Firstname)
Telephone
Relationship
Language spoken by this person
+ (country code)
5. Language Competence
Please refer to the European reference for your level as below
A1
A2
B1
B2
Intermédiaire
Débutant
Elémentaire
Intermédiaire
supérieur
Upper
Beginners
Elementary
Intermediate
intermediate
Language
C1
Avancé
C2
Avancé
supérieur
Advanced
Proficiency
Level (from A1 to C1)
st
1 Foreign language
2nd Foreign Language
3rd Foreign Language
6. Previous and current studies
Please indicate:
Diploma/Degree for which you are currently studying for
Number of years in higher education
prior to departure abroad
Expected graduation date:
If you don’t already have your Bachelor.
Undergraduate studies
(indicate degrees obtained and institution):
Will you validate subjects in your home university with
the following learning agreement?
7. Programme choice
IMPORTANT NOTES:
International students must choose a programme from the following list and it is mandatory to study all
subjects in the chosen programme. In other words, students cannot pick subjects from different
programmes.
The International Relations Office reserves the right to choose the campus when necessary.
Make sure that you choose a programme according to your level of study (number of ECTS credits)
U1 (1st year)
60 ECTS
U2 (2nd year)
120 ECTS
U3 (3rd year)
180 ECTS
U4 ou M1 (4th year)
240 ECTS
What is your level of study before coming to EM
Normandie?
You will have completed 2 years of study, 120 ECTS
credits before coming to EM Normandie.
You are a 3-year Bachelor Degree student, you will have
completed 180 ECTS credits and you will be graduated
when you come to EM Normandie.
M2 (5th year)
300 ECTS
Simple
exchange
students
Exchange students
Double Degree
Bachelor
programmes
Bachelor
programmes
M1 or M2
programmes
Or you are a 4-year Bachelor Degree student and you
have completed 3 years of study, 180 ECTS credits.
You are graduated, you obtained your Bachelor Degree and
you have completed 240 ECTS credits.
M2
(Degree: Grade de
Master or MSc)
M1 or M2
Programmes
 BACHELOR PROGRAMMES
Programme:
Programme
taught in:
Options:
All 30 ECTS credits/sem
Choice of
campus:
↓
Option 1: International Business
Bachelor
Management
International
(BMI)
English
Indicate your preference of campus,
Le Havre campus or Caen Campus ->
Note that EM Normandie reserves the right to
make the final decision.
Caen
Le Havre
English
Option 2: Tourism
Deauville
French
Option 3: Logistique Internationale
Caen
Bachelor
Management
Europeén
(BME)
French
Caen Campus
Undergraduate
year 3
(U3)
French
Le Havre Campus
Please
choose one
programme
and option:
↓
 M1 PROGRAMMES
Options:
30 ECTS credits/sem
Programme
Programme
taught in:
M1- International
Management
Programme (IMP)
English
Le Havre Campus
Mixed with French students
French
Le Havre Campus
Mixed with French students
M1 - General Management
Programme (M1)
Please choose one
programme and option:
 M2 PROGRAMMES
Programme
Programme
taught in:
Options:
English
Option 1: International Logistics and Crisis
Management
Le Havre Campus
English
Please choose one
programme and option:
Option 2: Supply Chain Management
Le Havre Campus
Option 3: International Business
Deauville Campus
M2
English
This programme is sub-devised in 2-months periods;
Students can attend either a 2-month or 4-month period
earning thus the corresponding ECTS.
Semester 1 period 1: Sept and Oct
Semester 1 period 2: Nov and Dec
Semester 2 period 1: Jan and Feb
Semester 2 period 2: March and April
M2
English
Option 4:
Cross-Cultural Marketing and Negotiation
Caen Campus
English
Option 5: Events Management
Deauville Campus
French
Option 1: Marketing et stratégie commerciale
Le Havre Campus
French
Option 2: Entrepreneurs
Le Havre Campus
French
Option 3: Audit et finance d’entreprise
Le Havre Campus
French
Option 4: Finance des groupes
Caen Campus
French
Option 5:
Management des Compétences et Gestion des
Ressources Humaines
Deauville Campus
French
Option 6: Manager des Systèmes d’Information
Deauville Campus
8. Learning agreement – 2014/2015
Receiving Institution:
Ecole de Management de Normandie – France
Name of student:
Sending institution:
Programme for which you apply

Are you seeking a Double Degree?
Yes
Period: semester
Fall (Sem 1)
Only for International Business in
Deauville campus!
Course unit code
No


I don’t know
Spring (sem2)

Fall - Sem 1:
Sept – Oct

Nov – Dec

Year (Fall + Spring )

Spring – Sem 2:

Jan – Feb

March –April
ECTS
credits
Course unit title
TOTAL ECTS
If necessary, continue this list on a separate sheet
Student’s signature:
Date:
SENDING INSTITUTION
We confirm that the proposed programme of study / learning agreement is approved
International coordinator’s signature
Head of programme’ s signature
Date:
Stamp:
Date:
Stamp:
RECEIVING INSTITUTION
We confirm that the proposed programme of study / learning agreement is approved
International coordinator’s signature
Head of programme’ s signature
Date:
Stamp:
Date:
Stamp:

9. Check list
COMPULSORY: Documents to be attached
Please tick:

Application fully completed in CAPITAL letters

1 Identity photo

Last transcripts of record.

Copy of your Bachelor degree or attestation

Proof of Language Level
1. For students participating in the programmes taught in English:
TOEFL, TOEIC, IELTS scores or letter of recommendation
from your university attesting that your level of English meets
our requirements.
(Exempt: students for whom English is the native language and
students who are completing degree studies in programmes taught in
English.)
OR
2. For students participating in the programmes taught in French:
DELF, DALF, TCF scores or letter of recommendation from
your university, attesting that your level of French meets our
requirements.
(Exempt: students for whom French is the native language and
students who are completing degree studies in programmes taught in
French.)
To be returned fully completed to:
international@em-normandie.fr
Deadline for 1st semester: April, 15th
Deadline for 2nd semester: Oct, 15th