UPPER AUSTRIA UNIVERSITY OF APPLIED SCIENCES
STUDENT APPLICATION FORM
for International Exchange Students
FIELD OF STUDY: _ _ _ _ _ _ _ _ _ _
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
I am in a Diploma programme
semester 1
2
3
4
5
6
7
8
I am applying for the
fall semester
spring semester
Steyr, School of Management
9
academic year 20 _ _/20 _ _ at:
Wehrgrabengasse 1-3
A-4400 Steyr, AUSTRIA
Wels, School of Engineering &
Environmental Sciences
Stelzhamerstrasse 23
A-4600 Wels, AUSTRIA
Hagenberg, School of Informatics,
Communication & Media
Linz, School of Applied Health & Social
Sciences
Softwarepark 11
A-4232 Hagenberg, AUSTRIA
Garnisonstraße 21
A-4020 Linz, AUSTRIA
Enrolling for program:
Erasmus
Bilateral Agreement
Double Degree
Free mover
NB: Application deadline is 1 June for the fall semester and 15 November for the spring semester.
Attach
2 recent
photographs
indicating
your name
here.
Fill in the following on the computer, print it out, sign it and submit it to your International Office.
They will send it by post to the Upper Austria University of Applied Sciences.
Please note: Handwritten forms will not be accepted.
PERSONAL DETAILS (to be completed by the student applying)
Current address:
Family name:
First name :
Sex: Female
Male
Nationality:
Date of birth:
Day
Current Telephone:
Month
Year
Current address is valid until:
Permanent address :
(if different from correspondence address):
Mobile:
Permanent Telephone (if different):
E-mail Address¹:
Date of School-Leaving Certificate:
Day
Month
Year
Please note:
1
We must have an e-mail address where you can be reached until your arrival.
SENDING INSTITUTION
Name of the Sending Institution:
Name of the Institutional Erasmus coordinator:
Full address of the International Office:
E-Mail address:
Tel/Fax:
CONTACT IN CASE OF EMERGENCY
Name and relationship of contact person:
Full address:
Tel (Home):
Mobile:
Tel (Work):
LANGUAGE SKILLS SELF-ASSESSMENT
Mother tongue:
Language of instruction at home institution (if different):
Other languages
German
English
Other……..
Excellent (C1-C2)
Good( B2)
Sufficient (B1)
Poor (A1-A2)
LANGUAGE REQUIREMENTS
To study at Upper Austria University of Applied Sciences a B2 level of English is required. *
(Please tick which applies to you and add a copy of your certificate to the application).
FCE
Goethezertifikat
TOEFL
IELC
testimonial by English professor
Mittelstufe Deutsch ÖSD
testimonial by German professor
If you are not sure about your level, take the assessment test at:
http://www.wifi.at/sprachentests/enab2/quiz.html
For the European framework of reference for languages look at:
http://en.wikipedia.org/wiki/Common_European_Framework_of_Reference_for_Languages
*For the School of Applied Health & Social Sciences a B2 level in German is required.
MOTIVATION
Please tell us briefly why you are planning to study at the Upper Austria University of Applied Sciences and
what influenced your choice of programme?
PREVIOUS EDUCATION AND EXPERIENCE
Degree programme which you are currently enrolled in:
I have already earned a degree/diploma: NO
YES
Number of higher education study years prior to departure abroad:
Have you ever studied abroad?
NO
YES
If yes, when? At which institution?
Number of ECTS credits per semester studied abroad required by your home institution:
PRACTICAL EXPERIENCE (If relevant)
Type of experience
Company/ Organisation
Period
Country
1.
2.
3.
4.
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.
ACCOMMODATION
YES, I have filled out, signed and enclosed an application form for housing.
NO, I will make my own arrangements.
ENCLOSURES

Certified Transcript of Records of your completed semesters of study (obligatory for all students)

Proposed Study Programme Abroad / Learning Agreement (obligatory for all students)

2 recent photos attached to the first page of this application (obligatory for all students)

Certificate in English or testimonial confirming B2 level (obligatory for all students)*

Accommodation Application Form (if we are to arrange your accommodation)

Certification of Finances (obligatory for students from European Union and students from non
European countries who will stay longer than 6 months)

Certification of Health Insurance (obligatory for all students)

Photocopy of your passport

CV
Please note: Only applications meeting these requirements will be accepted.
*For the School of Applied Health & Social Sciences a B2 level in German is required.
PRIVACY
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.
Student’s signature………………………………………………
Date:
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 Upper Austria University of Applied Sciences.
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.
Name of student:
Student’s signature: ..............................................................
Date: