UNIVERSITY OF APPLIED SCIENCES
UPPER AUSTRIA
STUDENT APPLICATION FORM
for International Exchange Students
Field of study at home institution:
☐ I am a Bachelor’s degree student
semester 1 ☐ 2 ☐ 3 ☐ 4 ☐ 5 ☐ 6 ☐ 7 ☐8 ☐
☐ I am a Master’s degree student
semester 1 ☐ 2 ☐ 3 ☐ 4 ☐ 5 ☐ 6 ☐ 7 ☐8 ☐
☐ other programme
semester 1 ☐ 2 ☐ 3 ☐ 4 ☐ 5 ☐ 6 ☐ 7 ☐8 ☐
Application for:
☐ winter semester Oct 20_ _ - Feb 20_ _
☐ summer semester Feb - Jul 20_ _
☐ entire academic year Oct 20_ _ - Jul 20_ _
☐
Steyr, School of Management
Wehrgrabengasse 1-3
A-4400 Steyr, AUSTRIA
☐
Hagenberg, School of Informatics,
Communication & Media
Softwarepark 11
A-4232 Hagenberg, AUSTRIA
☐
Wels, School of Engineering & Environmental
Sciences
Stelzhamerstrasse 23
A-4600 Wels, AUSTRIA
Linz, School of Applied Health & Social
Sciences
☐ Garnisonstrasse 21
A-4020 Linz, AUSTRIA
Attach 2 recent
passport
Study Exchange
☐
photos here
and send one
Double Degree
☐
in digital
version via
Internship
☐
email
Enrolling for programme:
Fill in the following on the computer! Please note: Handwritten forms will not be accepted.
PERSONAL DETAILS (to be completed by the student applying)
Current address:
Family name:
First name :
Sex:
Street/Nr:
Female ☐
Nationality:
Date of birth: dd:
Male ☐
Zip Code:
mm:
yyyy:
Town:
Place of birth:
Country:
Current Telephone:
Current address is valid until:
Mobile:
1
Permanent Telephone (if different):
Permanent address :
(if different from current address):
E-mail address (required):
Street:
Date of School-Leaving Certificate (day of high school
graduation): dd:
mm:
yyyy:
Zip Code:
Town:
Date of Bachelor Certificate (date of Bachelor
graduation if applicable)
dd:
mm:
yyyy:
Country:
SENDING INSTITUTION
Name of the sending institution:
Address of sending institution:
Country:
Contact person at the International Office:
E-Mail address:
CONTACT IN CASE OF EMERGENCY
Name and relationship of contact person:
Full address:
Tel (Home):
Mobile:
Tel (Work):
LANGUAGE REQUIREMENTS
Please tick which applies to you and add a copy of your certificate to the application. Only applicable if not
your mother tongue!
For courses taught in English a B2 level of English is required
☐ TOEFL
☐ IELTS
☐ FCE
☐ testimonial by English professor
For courses taught in German, a B2 level of German is required
☐ Goethezertifikat
☐ Mittelstufe Deutsch ÖSD
☐ testimonial by German professor
LANGUAGE SKILLS SELF-ASSESSMENT
Mother tongue:
Language of instruction at home institution (if different):
Other languages
German
Excellent (C1-C2)
☐
Good( B2)
☐
Sufficient (B1)
☐
Poor (A1-A2)
☐
None
☐
2
English
☐
☐
☐
☐
☐
Other:
☐
☐
☐
☐
☐
MOTIVATION
Please tell us briefly why you are planning to study at the University of Applied Sciences Upper Austria and
what influenced your choice of programme?
Click here to enter text.
SPECIAL NEEDS
Do you have any special needs: sight/ hearing disability, dyslexia, health problems that may require the
provision of special facilities in your living or studying environment?
☐ NO
☐
YES
If you ticked “YES”, please enclose a description of your needs / special arrangements.
TIME FRAME FOR EXCHANGE
Planned arrival date:
Planned departure date:
ACCOMMODATION
Steyr and Wels Campus:
☐ YES, I have filled in, signed and enclosed an application form for housing.
☐ NO, I will make my own arrangements.
Hagenberg Campus:
3
☐ I will apply for accommodation in a student residence in Hagenberg once I receive an acceptance letter
from the International Office.
☐ I will make my own arrangements.
Linz Campus:
Please check the webpage of the International Office at Linz Campus for recommended housing.
SENDING INSTITUTION
We confirm that:
- The above-mentioned student has been selected and accepted by her/his home university to
participate in the exchange programme with the University of Applied Sciences Upper Austria.
Number of ECTS required by home institution
International Coordinator’s signature
Institutional Stamp
...........................................................
Date:
STUDENT’S SIGNATURE
I hereby declare that I have completed this form in good faith and that I have submitted a complete
application and included the required enclosures.
Privacy notice: I understand that my personal contact details (phone number, email address) will be given to
staff on campus and my buddy so that they can contact me about excursions and my arrival.
I confirm that I will make adequate insurance arrangements.
Name of student:
Student’s signature: ..............................................................
Date:
REQUIRED ENCLOSURES

Transcript of Records of your completed semesters of study in English

proposed Study Programme / Learning Agreement

2 recent passport photos (attached to the first page and in digital version via email)

Certificate of English Proficiency B2 level (for courses taught in English) (if not mother tongue) /

Certificate of German Proficiency B2 level (for courses taught in German) (if not mother tongue)

Photocopy of your passport

current CV

Proof of Health Insurance valid in Austria (may be handed in after acceptance)

Optional: Accommodation Form (service only offered at Steyr and Wels Campus)

Certification of Finances (obligatory for all students going to Steyr Campus who will stay longer than 3
months; optional for students going to other campuses)
4