APPLICATION FORM 2017/2018 for INTERNATIONAL EXCHANGE STUDENTS Application deadlines: 15 May 2017: nomination deadline 1 June 2017: deadline for e-mailing application files for admission to the full academic year 2017/2018
15 May 2017: nomination deadline 1 June 2017: deadline for e-mailing application files for admission to the Autumn semester 2017/2018 15 October 2017: nomination deadline 1 November 2017: deadline for e-mailing application files for admission to the Spring semester 2017/2018 Please complete this form on your computer, then print and sign it. Note that incomplete applications will not be processed! 1. Personal details student Surname: First name(s): Sex: Male Female Place of birth: Date of birth: Passport/ID-number: Nationality: Street + house number: City/town: Postal/Zip code: Country: E-mail address 1: E-mail address 2: Cell phone number (incl. country code): Phone number (incl. country code):
2. Contact details home university Full name home university: Erasmus code (if applicable): Country: Website: Contact person at your home university (International Office): Ms. Mrs. Mr.: Full Name: Function: Telephone number: Fax number: E-mail address:
3. Visa If you are a non-EU student, please check if and what kind of visa you need on: http://www.studyinholland.nl/practical-matters/visa-wizard Please tick: I do not need a visa to study in the Netherlands
I need a visa to study in the Netherlands. I will fill out the Visa Service Application Form on www.windesheiminternational.nl and send it to Windesheim International office.
4 . Motivation Why do you want to study at Windesheim University of Applied Sciences? (Max. 300 words)
5. Field of study Please tick which study area you are applying for: Business
Education
Engineering
Health and Welfare
ICT
Journalism and Communication
Sport and Therapy
6. Study period Please tick and then specify the begin and end dates of your stay: Full academic year 2017/2018 I expect to stay from until Autumn semester 2017/2018 I expect to stay from until Spring semester 2017/2018 I expect to stay from until
7. Type of programme Please tick the appropriate option(s): I want to participate as an Erasmus student I want to participate in a Double Degree programme. Please note: Double Degree-students also have to apply through www.studielink.nl I am a participant of the Science Without Borders Programme
Other, namely:
8. Learning difficulties Do you have any learning difficulties (such as dyslexia, dyscalculia) or other disabilities that we should know of? No Yes If yes, do you need any specific facilities/support? No Yes. Please specify:
9. Accommodation Note, that our student housing cannot be booked before 1 July/1 December 2017 (for Autumn/Spring semester)! Please tick: Yes, I would like to apply for a room from SSH offered by Windesheim UAS, location Zwolle If you wish to apply for a room in one of our student dormitories please refer to our website. No, I do not want to apply for a room from SSH offered by Windesheim UAS, as I want to find (other) housing myself 10 . Checklist I have attached to my application e-mail (obligatory, please tick): A fully completed and signed scan of my Learning Agreement
A scan of my Language Proficiency Statement (signed and stamped), native speakers of English excepted
A photocopy of my academic records to date in Dutch or English
A clearly readable scan of my passport / ID-card
A scan of my original passport photo, format: jpg (not a copy of my passport)
A scan of my health insurance papers or European Health Insurance Card, valid throughout my study period in the Netherlands. A scan of my travel and liability insurance papers (including compensation of theft), valid throughout my study period in the Netherlands.
Full year students only: 1 photocopy of my birth certificate, with an apostille or double legalisation
Note: Your original birth certificate is needed in order to register with the municipality. Please click this link for more information regarding legalising documents: legalising documents Nursing students only: the result of my hepatitis B titre test + copy of MRSA result
Design students only: portfolio
Students who need a residence permit for Study in the Netherlands:
Visa Service Application Form + appendices
11 . Signatures Student: Coordinator of sending institution: I hereby certify that I have provided all the I hereby certify that this student is eligible required information and that all the for exchange at Windesheim, and that the information that I have provided is correct. proposed study programme can be incorporated in the student’s regular study programme. Name: Name: Mr Ms Mrs Place: Date: Place: Date: Signature: Signature:
Stamp:
12. Submitting your application Please send your application documents as separate files (not in 1 file) to the following e-mail address: [email protected]
INCOMPLETE, UNSIGNED OR NON-COMPLIANT APPLICATION PACKAGES WILL NOT BE ACCEPTED! English Language Proficiency Statement (Only to be filled out by the International Office or a professor from the student’s home university. Native speakers of English do not have to hand in this form.)
I hereby declare that [full name student]: born on [date of birth]: registered at [name sending university]: meets the English language requirements for participation in exchange programmes at Windesheim University of Applied Sciences.
His/her English language proficiency is comparable to at least:
IELTS overall band 6.0
TOEFL computer based 213
TOEFL internet based 80
TOEFL paper based 550
CEFR (Common European Framework of References for Languages) B2
Date: …………………………………………..
Name: …………………………………………………………………………………
Position: ……………………………………………………………………………..
Signature and stamp: