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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