Application Form – Course Exemption (based on Previously Acquired Qualifications) 2015-2016
Student identification
Administration
Surname:
First name:
Student number (if you are already registered):
File received at SA on (date):
(to be filled in by the Student Administrative Services Centre and by the faculty)
File received at faculty on (date):
Degree programme (that you (would like to) follow and for which you Date file was resent from faculty to SA (date):
are applying for an exemption):
Name decision maker faculty:
Mobile Phone number:
E-mail address (student e-mail if you are registered) :
Date:
Signature:
Procedure
ATTENTION PLEASE: Make sure to read the procedure carefully on the student portal of the Student Administrative Services Centre:
www.kuleuven.be/campusbrussel/student/en
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.
Please tick off the boxes in the checklist with the necessary steps and documents below.
O You submit the exemption request(s) online in your ISP (via www.kuleuven.be/kuloket).
O You enclose the following documents in your file:
o
o
o
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 sa.brussel@kuleuven.be.
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Complete overview exemption requests
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 www.kuleuven.be/education -> programme overview
Code
KU Leuven
course
Ex. HBN14A
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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 www.kuleuven.be/education -> programme overview
KU Leuven course
from which I want to be exempted
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
(to be filled in by the student)
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:
- learning outcomes
- 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
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Learning outcomes of the course on the basis of which the exemption
is requested
(2) Course descriptions
Course description of the course for 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:
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