Photograph, not compulsory Howest, University College West Flanders Belgium Application form for 2015 - 2016 for all exchange students - Erasmus and overseas partners ONLY TYPEWRITTEN VERSIONS WILL BE PROCESSED 1. Student´s personal details Family name: First name(s): Number ID card (or passport) – please attach a copy of your ID card on one single (scan) document: For Erasmus Belgica students it must be the Belgian Identity card: National Register Number: Gender: Male Female Nationality: Date of birth: Place of birth (city + country): Current address : (street + number, postal code, city, country): Current postal address is valid until: Permanent address (if different): Telephone (including country code): Mobile phone (including country code): Mobile phone contact person at home in case of emergency (including country code): E-mail address (please double check the spelling): 2. Sending institution Name (of the Sending Institution, not only your Faculty, in English): Full address (street + number, post code, city, country): Erasmus Code Sending institution (ask your international coordinator!): YOUR Departmental Co-ordinator / Student Exchange Co-ordinator Family name and first name: Mr Ms Telephone (including country code): E-mail address: 3. Previous and current study Diploma/degree for which you are currently studying at your home institution: (please also mention specialisation field): Please attach your transcripts of records of the previous years/semesters, with translation if not in English, French, Dutch, German or Spanish. Number of (successful) higher education study semesters/years/ECTS credits prior to departure abroad: semesters years ECTS (please tick the right option) Have you already been studying abroad? Yes No If yes, when? At which institution? 2 4. Study programme you wish to apply for at HOWEST For the English-taught semesters or modules there are specific expectations concerning English language skills and previous study. Please read them in the brochures and attach the required proof or documents. International semesters in English in Autumn Tick the right box (only 1). All these programmes are only offered in our Autumn Semester (September – end of January). Admission criterion: 60 or 120 ECTS previously acquired and B2 level English. See our online brochures for more detailed information. Duration of stay: 5 months International Business Management I (Bruges) Applied Computer Sciences (Bruges) Digital Creative Projects in New Media & IT (Kortrijk) Digital Creative Projects in Tourism (Kortrijk) Digital Creative Projects in Journalism (Kortrijk) Realisation in Product Design (Kortrijk) Applied Health & Lifestyle Sciences (Bruges) Please send your proposal of Learning Agreement (www.howest.be/application) according to the programme you find on www.howest.be/internationalsemesters. Howest Student Application form (Erasmus) exchange 2015-2016 3 International semesters in English in Spring Tick the right box (only 1). All these programmes are only offered in our Spring Semester (February – end of June). Admission criterion: 60 ECTS previously acquired and B2 level English. See further online brochures. Duration of stay: 5 months International Business Management II (Bruges) Combination with IBM I is possible. Applied Computer Sciences (Bruges) Combination with ACS Autumn is possible Digital Creative Project in Communication (Kortrijk) Digital Creative Projects in Product Design (Kortrijk) Digital Creative Projects in Occupational Therapy (Kortrijk) Please send your proposal of Learning Agreement (www.howest.be/application) according to the programme you find on www.howest.be/internationalsemesters. Bachelor in English Digital Arts and Entertainment DAE is a full-time Bachelor's degree programme. Exchange study is only possible in case of an Erasmus Agreement mentioning explicitly the DAE department. Due to the structure of their programme, the DAE department prefers exchange students to attend the Autumn semester or a full year. Admission criterion: 60 ECTS previously acquired and B2 level English. Please send your proposal of Learning Agreement (www.howest.be/application) according to the programme you find on www.digitalartsandentertainment.com. Howest Student Application form (Erasmus) exchange 2015-2016 4 Regular curriculum (in Dutch!) or traineeship Some of our Dutch-taught degree programmes offer tailor-made study possibilities in English for selected course units, projects and/or traineeship. Applications for traineeship are only eligible after previous agreement by the concerned Howest department. Please mention in which Bachelor programme you wish to attend course units** Name of the Bachelor programme: How many ECTS credits do you expect to gather at HOWEST? location**: Bruges Kortrijk ECTS. study In case of : Duration of stay: months. Please also tick the appropriate box. I would like to study the regular curriculum during the 1st semester (Sept. – end of Jan.) I would like to study the regular curriculum during the 2nd semester (Febr. – end of June) I would like to study the regular curriculum during the whole academic year (Sept. – end of June) traineeship In case of : Duration of stay: months. Please also tick the appropriate box. the traineeship is planned during the 1st semester: from (date) till (date) the traineeship is planned during the 2nd semester: from (date) till (date) Please send your proposal of Learning Agreement (www.howest.be/application) according to the programme you find on www.howest.be/opleidingen. ** Social Work is offered both in Bruges and Kortrijk. Please add the city/department where you would like to attend this Bachelor programme. 5. Orientation Week We organise a fulltime orientation week before the start of the actual lessons. We warmly recommend all incoming students to attend it, since it will offer you the opportunity to - get to know Howest and the campus(es) where you will spend your semester/year - explore the Howest cities Bruges & Kortrijk together with our local students and dive into student life - discover some Belgian cultural treasures through student-friendly sightseeing trips to our most beautiful art cities like Ghent, Antwerp, Brussels, … - get loads of practical tips from our students while getting installed in your student room Howest charges no participation fee for the orientation week, but students do need to pay for their own expenses, such as a couple of train trips (with a Go Pass this comes down to max. €5,1/train journey), some entrance fees (at student & group fares) and your own food & drinks. Everything in the low-cost way, and without any obligation as to participate in the paying activities. Please indicate whether you will attend this orientation week: I will attend the orientation week of the Autumn semester: 14 – 18 September 2015 I will attend the orientation week of the Spring semester: 1 – 5 February 2016 I will not attend the orientation week Howest Student Application form (Erasmus) exchange 2015-2016 5 6. Motivation State the reasons why you wish to study at Howest in the chosen programme(s)? (about 500 characters ≈ 5 sentences) 7. Language competence* Languages I am currently studying this language Yes I have sufficient knowledge to follow lectures and do exams No Yes No * For the English-taught semesters/modules we require the B2 level of the CEFR. Please read them and attach the required proof or documents. 8. Work experience related to current study (if relevant) Type of work experience 9. Enterprise Dates Country Erasmus or other grant Will you receive an Erasmus+ mobility grant through your home institution to assist towards the additional costs of your study period abroad? Yes No >> If “yes” and you come for traineeship, indicate the type of Erasmus grant SMS SMT Will you receive another type of grant than Erasmus+ to support your mobility period? If yes, which one? Howest Student Application form (Erasmus) exchange 2015-2016 Yes No 6 10. Insurance University Insurance Policy Incoming exchange students without insurance coverage by their home institution will be covered by the Howest insurance policy for third-party liability and physical accidents during the school related activities and on their way to and back from the campus or traineeship. Not during private time of the exchange period. That coverage does not replace a normal health and travel assistance insurance, which each incoming student must take. The Howest insurance will only come into action after exhausting the student’s Home School Insurance coverage. Health, medical and assistance Insurance All incoming students need to arrange themselves sufficient health, medical and travel assistance insurance, including repatriation of corps. Students who wish to take a medical insurance upon arrival in Belgium, can find more information in our (online) Practical Information Package for incoming students. 11. Accommodation STIP Howest, our students services department, will help you find suitable accommodation. As soon as your application has been approved by Howest, STIP will contact you by e-mail, explain the different housing options and propose you the best match for your wishes and budget. A student room in Bruges will cost you between €230 and €350 per month; a studio flat between €400 and €600 per month. In Kortrijk the price of an average student room is between €150 and €350 per month. Please respond promptly to the e-mails you get from our STIP colleagues. If you do not respond to the e-mails from STIP or if you drop the process, you cannot expect any type of ‘emergency housing assistance’ upon arrival. I have double-checked the email address which I typewrote in section 1. 12. Application deadlines Deadline for applicants from the European Economic Area: Before 20/06/2015 for study in Autumn Semester Before 30/11/2015 for study in Spring Semester Deadline for applicants from outside the European Economic Area: Before 20/05/2015 for study in Autumn Semester Before 31/10/2015 for study in Spring Semester Howest Student Application form (Erasmus) exchange 2015-2016 7 13. Agreement of the Sending Institution To be completed by a STAFF member of the sending school. Applications without this agreement of the Sending University are non-eligible. I hereby confirm that the applying student has been selected to apply for the above mentioned Erasmus/exchange study period at Howest the data in section 2 are correct and complete, including the Erasmus code of my institution. Please indicate whether your applying student will be covered or not by an insurance policy of your institution during his/her mobility period: (see also section 10° Insurance) covering third party-liability during all school related activities* YES NO covering physical accidents during all school related activities* YES NO Date: Name and function: Signature and stamp of the Sending Institution: 14. Checklist and signature of the applicant Before sending your application form to Howest, International Office, please make sure that you did or attached the following: This application form is NOT HANDWRITTEN. Copy of ID card or passport on one single page. For Erasmus Belgica students it must be the Belgian identity card. Transcript of records with study results past semester(s)/year(s) in one of the main EU languages. Learning agreement with proposed study programme at Howest (use your home university’s format or download at www.howest.be/application) Proof of Language proficiency in English (or Dutch). I will make sure to arrange sufficient medical, health and travel assistance insurance coverage once I got accepted by Howest for an exchange period. This application form is signed and stamped by my Home Institution (section °13). This application form holds name, date and signature of the Applicant (right under here): Your family and first name: Date: Signature: Howest Student Application form (Erasmus) exchange 2015-2016 8 15. Receiving Institution - address for application Name: Howest, de Hogeschool West-Vlaanderen (University College West Flanders) Contact person: Ms. Sophie Dewitte Howest International Office – Incoming Students Address: Howest International Office Marksesteenweg 58 B – 8500 Kortrijk + 32 (0)56 24 12 90 Fax: + 32 (0)56 24 12 92 international.office@howest.be Phone: E-mail: 16. Acknowledgement by Howest Howest hereby acknowledges receipt of the Application Form. The above mentioned student is accepted at Howest. The above mentioned student is not accepted at Howest. The application of the above mentioned student will be reconsidered after completion of the application file. Please provide the lacking information or annexes. Comments: Departmental coordinator’s signature Date: Institutional coordinator’s signature Date: Howest Student Application form (Erasmus) exchange 2015-2016