Application for Admission to
Study Abroad
(ERASMUS)
Notes on completion of the Form
1.
Period of study
The academic year at the University of Essex is divided into three terms of ten weeks. The calendar for
2011-12 is:
Compulsory Orientation*
Sunday 2 October – Sunday 9 October 2011
Autumn Term
Monday 10 October – Friday 16 December 2011
Spring Term
Monday 16 January – Friday 23 March 2012
Summer Term
Tuesday 23 April – Friday 29 June 2012
*Full year/Autumn Term only students
There is a compulsory Orientation Programme commencing on the Wednesday before the start of the
Spring Term (11 January) for Spring/Summer term only students. You must attend this programme.
Late arrivals may not be admitted to the programme.
Applications can be considered for
2.
(a)
a full year of 39 weeks (including two four-week vacations and an orientation week)
(b)
“semester” periods – either the Autumn term or the combined Spring and Summer terms
Choice of Courses (please refer to the on-line Module Directory)
(a) You are asked to make a preliminary selection of courses. You will have the opportunity to discuss
your choices when you arrive at Essex. Many applicants make changes to their course choices before
embarking on their studies.
(b) You should note that some of the courses listed in the on-line Directory may not be available and
additional courses may be offered. If a particular course is essential to you, please place an
asterisk against it.
(c) Your choice may be restricted by timetable clashes or because a particular course is full.
(d) Where prerequisites are specified, you should ensure that details of the appropriate courses you have
followed are included with your application.
3.
Current Study
Please list all the courses you are taking at present. We also need a transcript of your previous study todate, listing credits, grades and details of any CEEB/SAT scores. If English is not your first language, we
will need a current TOEFL or IELTS score. We require:
IELTS - 6.0
TOEFL - 540 (Paper based), 207 (Computer-based), 76 (Internet-based)
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PLEASE USE THE FOLLOWING CHECKLIST TO ENSURE THAT YOUR APPLICATION IS
COMPLETE
(or date)
Completed ALL SECTIONS of the application form
I have not completed all sections but the information will be provided by
Included a copy of your transcript
OR I have arranged for a copy of my transcript to be sent
Included a passport-type photo with my name written on the back
Included a photocopy of the information page from my passport
Included proof of my TOEFL/IELTS score (if applicable)
APPLICIANTS WHO DO NOT MEET THE APPLICATION DEADLINE MAY FORFEIT THE
OPPORTUNITY TO BE OFFERED UNIVERSITY OWNED/CAMPUS ACCOMMODATION.
ADDRESS FOR APPLICATION FORM AND ALL RELEVANT DOCUMENTS:
J M Andrews
Study Abroad Co-ordinator
Study Abroad Office
University of Essex
Wivenhoe Park
Colchester CO4 3SQ
Essex
England
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Application for Admission to
Study Abroad
(ERASMUS)
PLEASE COMPLETE ON-LINE AND THEN PRINT THIS DOCUMENT
Period of Study
Full Academic Year
Autumn
Spring and Summer



YOU ARE EXPECTED TO ATTEND FOR THE ALL OF THE TERM(S) FOR WHICH YOU APPLY. YOU MUST
ATTEND THE ORIENTATION PROGRAMME PRIOR TO YOUR PERIOD OF STUDY.
Personal Details
Family Name
First Names
Title (Mr/Mrs/Miss/Ms)
Date of Birth (D/M/Y)
Nationality*
Sex (Male/Female)
*This means what country issued your passport. It is not about race/ethnicity.
E-mail – please ensure that your email is typed
correctly and with the appropriate lower or upper
case letter/characters
Current Contact
Address
(valid until date___________________)
Tel
Fax
Permanent Home
Address
(if different from above)
Tel
Fax
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Present Institution attended
Year of Entry
Contact person at Home
Institution
E-mail of person named
above
1st or 2nd cycle degree
Current Year of Study
(please circle as appropriate)
Current TOEFL/IELTS score*
1st / 2nd /3rd /4th
*Your application cannot be processed without a valid language certificate.
Transcript of Records
Please attach a transcript for the courses you have followed at your home institution.
Deadline for Application


1st May 2011
1st November 2011
Full Year/Autumn Term only students
Spring and Summer Terms
Please return this form with:



Academic transcript of your marks
Photocopy of your passport (information page)
A passport sized photograph with your name on the back
Julie Andrews
Study Abroad Office
University of Essex
Wivenhoe Park
Colchester
Essex
CO4 3SQ
England
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Course Selection
Please list below the courses that you wish to take during your period of study at Essex. You are advised to list
acceptable alternative courses in the event of timetable clashes, course cancellation or demand limitations.




You must follow the Rules of Assessment for all courses that you undertake.
You will be required to take four courses per term.
Please indicate with an * if your acceptance of a place is conditional upon enrolment on a particular course(s).
Courses only run during the terms stated in the on-line course catalogue – eg, it is not possible to take a
Spring Term course if you are only at Essex for the Autumn Term. However, in most cases the relevant parts
of full-year courses can be taken by part-year students.
PLEASE COMPLETE
Course Code
*CC111-4-SP
Course Title
Computing Skills
*Example
PLEASE SEE OUR ON-LINE MODULE DIRECTORY FOR INFORMATION ABOUT OUR COURSES –
http://www2.essex.ac.uk/courses/.
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Credits
Language Courses
Please note that registration for any language course (including IA740-4-FY, Advanced Practical English) specified
in this document is only PROVISIONAL. To confirm your registration for a language course, you MUST see the
relevant Course Supervisor during Week One. There are HELP DESK SESSIONS held in the Department of
Language and Linguistics, and at these you can be given assistance with matters such as the names of Course
Supervisors, and where to find them.
Please also note that for IA740-4-FY, Advanced Practical English, there is an entry test, and that you must gain a
pass at the requisite level (before your registration for this course can be confirmed). You may take this course if
you have an IELTS score of 6 or a TOEFL 540. This course is only open to full-year students.
Disability/special needs (including dyslexia)/medical conditions – please refer to Page 7
Disability code

Details of disability if there is not an appropriate code listed. Any information supplied concerning disability/special
needs will be passed to our Student Support Office for assessment of your requirements.
Agreement
1. The University of Essex agrees to enrol the student named below on the courses listed in the above application
during the academic year. If, for any unforeseen reason, any courses listed are not available, the University of
Essex agrees to make available a suitable alternative course.
2. The student agrees to adhere to the study requirements laid down by the University of Essex.
The University of Essex is registered under the terms of the Data Protection Act 1998 to enable it to
hold and process personal data. The data supplied by you on this form will be kept secure and
accurate and will only be disclosed to people who have a need to know in accordance with the
University’s registration under the Act.
I confirm that the personal data supplied by me on this form is accurate to the best of my knowledge and I agree
to the University of Essex processing this data in connection with/for the purposes of my registration.
I understand that I am responsible for paying any financial shortfall.
Name
Signature
Student
Authorised
Representative of
Home University
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Date
Disability / Special Needs / Medical Condition
If you have a disability, special needs (including dyslexia or other specific learning difficulty) or a medical
condition, please select the most appropriate code from the list on this page and enter it on your application
form.
If you do not have a disability, special needs or a medical condition use code 0. If you do not want to
give this information now, leave the box blank.
Disability, special needs or medical condition codes:
0 - None.
1 - You have a specific learning difficulty (for example, dyslexia).
2 - You are blind or partially sighted.
3 - You are deaf or hard of hearing.
4 - You use a wheelchair or have mobility difficulties.
T - You have Autistic Spectrum Disorder or Asperger Syndrome.
6 - You have mental health difficulties.
7 - You have a disability that cannot be seen, for example diabetes, epilepsy, or a heart condition.
8 - You have two or more of the above.
9 - You have a disability, special need, or medical condition that is not listed above.
Any information supplied will be kept confidential.
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