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Howest
University College West Flanders - Belgium
Student application form (Erasmus exchange)
Academic year:
2009-2010
Sending Institution
The application form should be typewritten.
Name (in English) and full address Sending Institution:
……………………………………………………………………………………...................................….
……………………………………………………………………………………………………………………
Country: ………………………………………………..
Departmental Co-ordinator / Student Exchange Co-ordinator:
Name, telephone and fax numbers, e-mail:………………………………………………………………...
…………………………………………………………………………………………………………………..
…………………………………………………………………………………………………………………..
…………………………………………………………………………………………………………………..
Student´s personal details
Family name: .......................................................... First name(s): ..............................................
Date of birth: ............................................................ Place of birth:................................................
Sex: .......................................................................... Nationality: ...................................................
Current address: ...................................................... Permanent address (if different): ..................
................................................................................. ......................................................................
................................................................................. ......................................................................
................................................................................. ......................................................................
Telephone (including country code): ……………………………………………..……………………………………
Mobile phone: (including country code): …………………………………………………………………………
E-mail address: ................................................................................................................................
Current postal address is valid until: ..............................................................................................
Previous and current study
Diploma/degree for which you are currently studying: (please also mention specialisation field)
…………………………………………………………….…………………………………………..
Please attach your transcripts of records of the previous years/semesters, with translation if
not in English, French, Dutch, German or Spanish.
Number of (successful) higher education study semesters/years/ECTS credits prior to departure
abroad: ………………………… semesters / years / ECTS (please circle the right option)
Have you already been studying abroad?
Yes
No
If yes, when? …………………………… At which institution?…………………..…………………………
Study programme the student wishes to apply for at Howest*
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International semester (in English):
Digital Business Management*
DBM is only offered in our first semester (September - end of December)
Number of ECTS credits: a package of at least 30 ECTS is offered.
Duration of stay: 4 months
□
International semester (in English):
Tourism Management*
TM is only offered in our first semester (September - end of December)
Number of ECTS credits: 30 ECTS
Duration of stay: 4 months
□
European module (in English)
Entrepreneurial Spirit improving European
Welfare – ESPIEW*
ESPIEW is only offered in our first semester (September - end of December)
LLP ERASMUS Multilateral Project : ESPIEW
Ref. 141958-LLP-1-2008-1-BE-ERASMUS-ECDEM
Priority is given to students from ESPIEW partner universities.
Number of ECTS credits: 30 ECTS
Duration of stay: 4 months
□
International semester (in English):
Multimedia Communication*
MMC is only offered in our second semester (February – end of June)
Number of ECTS credits: a package of at least 30 ECTS is offered.
Duration of stay: 5 months
* For the English taught semesters or modules there are specific prerequisites
concerning English language skills and previous study. Please read them in the
brochures and attach the required proof or documents.
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□ Regular curriculum (in Dutch!)
Some of our Dutch taught degree programmes offer tailor made study
possibilities in English, for selected course units, work placement, project
and/or study.
Please mention in which Bachelor / Master training programme you wish to attend course units**
Name of the Bachelor / Master programme: …………………………………………………………………
How many ECTS credits do you expect to gather at Howest?
Expected number of ECTS credits: …………………… ECTS.
Duration of stay: …………. months. Please also tick the appropriate box.
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I would like to study the regular curriculum during the 1st semester (Sept. – end of Jan.)
I would like to study the regular curriculum during the 2 nd semester (Febr. – end of June)
I would like to study the regular curriculum during the whole academic year (Sept. – end of June)
** Management Assistant and Medical Management Assistant are offered both in Bruges and Kortrijk. Social
Work is taught both in Ostend and in Kortrijk. Please add the town/department where you would like to attend
those Bachelor programmes.
Motivation
Briefly state the reasons why you wish to study abroad in the chosen programme?
………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………...
………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………...
………………………………………………………………………………………………………………………
Language competence*
Mother tongue: …………….. Language of instruction at home institution (if different): ……………..……
Other
languages
I am currently
studying this
language
Yes
No
I have sufficient
knowledge to follow
lectures and do
exams
Yes
No
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I don´t have sufficient knowledge to
follow lectures, but I would if I had some
extra preparation
Yes
No
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* For the English taught semesters/modules there are specific language prerequisites. Please read
them and attach the required proof or documents.
………………..
………………..
………………..
Work experience related to current study (if relevant)
Type of work experience
Enterprise
Dates
Country
…………………………... ………………………….. ………………………….. …………………………..
…………………………... ………………………….. ………………………….. …………………………..
LLP/Erasmus grant
Will you receive an LLP/Erasmus mobility grant from your home institution to assist towards the
additional costs of your study period abroad?
Yes □
No
□
Accommodation
□
I will search for accommodation by myself. (www.kotwest.be can be a help)
Only if your application reaches us before the set deadlines:
□
I would like help from Howest to search for accommodation.
Please contact international.office@howest.be.
Registration deadlines
Please send (by post) or fax this application form (see address and numbers below):


Before 26/06/2009 for semester 1 study (incl. Digital Business
Management, Tourism Management and ESPIEW)
Before 30/11/2009 for semester 2 study (incl. Multimedia
Communication)
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Annexes
Attach to this application form the required transcripts of records (see above) and the proof of
language proficiency (see above).
Agreement of the sending institution
(to be completed by a staff member of the sending school)
The Sending Institution hereby confirms that the applying student has been selected at the home
university / institution to apply for an Erasmus study period at Howest – University College West
Flanders.
Date: ………………………..
Name and function: ……………………………………
Signature and stamp of the school: ……………………………..…………………………..
Receiving Institution
Name:
Howest, de Hogeschool West-Vlaanderen
(University College West Flanders)
Contact person: Ms. Isabelle Pertry
Institutional International Mobility Officer
Address:
Tel:
e-mail:
Howest International Office
Marksesteenweg 58 B – 8500 Kortrijk
+ 32 (0)56 24 12 90
Fax: + 32 (0)56 24 12 92
international.office@howest.be
Acknowledgement of the receiving institution
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We hereby acknowledge receipt of the application, the proposed learning agreement and the
candidate’s transcript(s) of records.
The above mentioned student is
□
□
□
accepted at Howest
provisionally accepted at Howest
not accepted at Howest
Departmental coordinator’s signature
………………………………………………
Institutional coordinator’s signature
…………………………………………
Date: …………………………………….
Date: …………………………………..
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