the application here

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Application Deadlines
Fall semester or full year: May 1
Spring semester: November 1
STUDENT APPLICATION FORM
EXCHANGE/STUDY ABROAD STUDENTS
ACADEMIC YEAR 2015/2016
1. Personal details
Family name:
First name(s):
Date of birth (DD/MM/YYYY):
Place of birth:
Citizenship:
Gender (F/M):
Address:
Tel:
E-mail:
Contact person in case of emergency:
Tel:
E-mail:
ATTACHMENT: PLEASE NOTE THAT IT IS MANDATORY TO ATTACH A TRANSCRIPT
OF RECORDS FROM YOUR CURRENT EDUCATION
2. Education details
Home Institution:
Exchange program (Erasmus/EEA/ISEP/other):
Period of Exchange:
Area of Study:
From:
Name of contact person at home institution:
Email of contact person:
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To:
3. Academic work in progress
Academic work in progress
Please indicate academic work/courses in progress during the present academic year
(list specific courses if applicable; use additional sheet if necessary)
COURSE NAME:
CREDITS/ECTS:
4. Language Proficiency
Please note that no official English testing is necessary, only self-evaluation –
see below:
I am proficient in English language at least at B2 level (Europass, language
assessment – see the definition of B2 level on the last page)
Yes No 
Indicate here if you have taken an official test of English proficiency, such as
TOEFL or IELTS and the score:
5. Campus
When you make your choice, please be aware that you cannot select cross-campus
courses or programmes! More information at www.hbv.no/english
Please indicate which campus you plan to study at:
Vestfold
Hønefoss
Drammen
Kongsberg
6. List of courses you intend to take at HBV
Please note that you are expected to take a minimum of 30 ECTS per semester. To
view the full list of courses, click www.hbv.no/english
COURSE NAME:
ECTS:
Please note: If you are planning a final project/thesis on HBV as an exchange
student, it is mandatory to elaborate on the details of the project/thesis in a
separate paper and attach it to the application.
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7. Health
a) Please indicate if you have some kind of health issues/disabilities such as dyslexia,
dysgraphia, etc. which may influence your study process.
Yes  No
If Yes, please deliver a confirmation from doctor, special needs representative, etc.
with this application.
b) Do you have some other type of health diseases/disabilities such as heart disease,
epilepsy, diabetes, etc. affecting your daily or/and special activities?
Yes  No
If Yes, please write what health diseases/disabilities you have:
8. Insurance
a) Do you have a European Health Insurance Card if you are a European citizen or valid
insurance from your home country if you come from an institution outside of Europe?
Yes  No
If No, and you are a European citizen, please order it (for free) before you arrive to
Norway. See how to order:
http://ec.europa.eu/social/main.jsp?catId=563&langId=en#National_information_and_contacts
b) Do you have a private insurance?
Yes  No
If Yes, please write:
Insurance company’s name:
Policy number:
Validation term:
If No, we recommend to get private health/life/accident/travel insurance at least for the
period of your stay in Norway.
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9. Signature (Read carefully before signing)
All information provided in this application, is to the best of my knowledge, correct. I
am aware that providing incorrect information in this application may result in
disqualification of my application.
I have enclosed a certified copy of my transcript of records with the application:
Yes  No
Place
Date
B2 level is described as follows:
Understanding
Speaking
I can understand
extended speech
and lectures and
follow even
complex lines of
argument provided
the topic is
reasonably
familiar. I can
understand most
TV news and
current affairs
programmes. I can
understand the
majority of films in
standard dialect.
I can read articles
and reports
concerned with
contemporary
problems in which
the writers adopt
particular attitudes
or viewpoints. I can
understand
contemporary
literary prose.
I can interact with a
degree of fluency
and spontaneity that
makes regular
interaction with
native speakers
quite possible. I can
take an active part
in discussion in
familiar contexts,
accounting for and
sustaining my
views.
I can present clear,
detailed
descriptions on a
wide range of
subjects related to
my field of interest.
I can explain a
viewpoint on a
topical issue giving
the advantages and
disadvantages of
various options.
Signature
Writing
I can write clear,
detailed text on a
wide range of
subjects related to
my interests. I can
write an essay or
report, passing on
information or
giving reasons in
support of or
against a particular
point of view. I can
write letters
highlighting the
personal
significance of
events and
experiences.
Please send your application form with certified true copies of your certificates
and diplomas to:
international@hbv.no
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