Application Form for Exchange (including Erasmus) and Visiting Students

Please glue
your
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here
Application Form for Exchange (including Erasmus) and Visiting Students
How to apply:
1. Read the information for Exchange and Visiting Students at www.bath.ac.uk/study/exchange-visiting/
2. Complete this form on the computer for legibility, then print it and add the signatures in section 8 and section 10.
3. Send your fully completed form and supporting documents either by post or e-mail (not fax). If sending by e-mail,
please enclose scanned documents (pdf. files), not photographed documents.
Post: The Mobility Office, International Relations Office, University of Bath, Bath, BA2 7AY, United Kingdom
E-mail: inbound-exchange@bath.ac.uk
4. We will acknowledge receipt of your application and, after it has been assessed, we will let you know whether your
application has been accepted. Do not make travel, accommodation or visa arrangements unless and until you
have received a formal offer of admission.
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Application deadlines are normally 1 May for entry in Semester 1/ Full Academic Year and 15 October for entry in
Semester 2.
1. YOUR PERSONAL DATA
Surname/Family name:
Title:
Mr
Mrs
Miss
Ms
First and other names:
Passport number:
Your full name as it appears on your passport:
Date of birth (dd-mm-yy)
Country of nationality:
-
-
Sex:
Male
Female
Country of birth:
Second nationality:
Please name any disability, special needs or medical condition which you have:
(This will enable us to follow up your potential support needs). Please see http://www.bath.ac.uk/disabilityadvice/
Address/es: please type your address in the format in which it should appear on an envelope and include your
postcode:
Permanent address:
Correspondence address (if different):
Valid from (dd-mm-yy)
Telephone:
Telephone:
E-mail:
E-mail:
-
-
until
-
-
In which country have you lived for the last three years?
Why have you lived there (e.g. country of birth, education, etc.)?
In which country is your permanent home address?
2. TYPE OF STUDENT AND PERIOD OF STUDY
Erasmus
or
other Exchange student
(Only tick one of these boxes if you have been nominated to participate in an existing exchange.)
Visiting student
Academic Year:
(state the academic year you wish to attend, e.g. 2014/2015)
Full academic year
Semester 1
Semester 2
Research project with the following dates
3. YOUR UNIVERSITY STUDIES
Please give details of your studies at your current home institution and any previous home institution and enclose a
transcript showing the subjects you have taken and the results you have obtained so far. Do not try to translate your
results into British equivalents – give the titles used in your home country and language.
Dates of
Attendance
Institution
Main course of study (Major)
What qualification will you obtain at the end of your studies and in which year will that be?
Do not try to translate this into English– give the title in the original language, e.g. Gakushi, Licenciado,Maîtrise
Qualification:
Year expected:
4. YOUR REASONS FOR WISHING TO STUDY ABROAD
Please explain briefly why you wish to study abroad at the University of Bath and give any further
information which you wish to add in support of your application.
5. ENGLISH LANGUAGE COMPETENCE
All courses are taught in English and all non-native speakers are required to demonstrate that they have an
appropriate level of spoken and written English for full academic and social participation. The level recommended is
Level C1 in the Common European Framework of Reference for Languages (CEFR), although B2 will be accepted in
some subject areas, including Politics, Languages and International Studies. Please note that the School of
Management always requires proof of C1 level.
We regret that students who are unable to demonstrate the appropriate level cannot be admitted.
Students who require a Tier 4 (General) Student Visa must also satisfy UK Visas and Immigration English Language
Requirements (see http://www.bath.ac.uk/study/ug/apply/englishlanguage/ .You will require a Tier 4 (General) Student
Visa if you are not a national of an EU member state, EEA member state or Switzerland AND you wish to study at
Bath for the full academic year or for a Pharmacy programme of any length which includes rotations.
Please give full details of your level of English, including how long you have been studying the language and the
levels and results/certificates of any exams (school, university, IELTS, Cambridge, Pearson etc.) which you have
taken. If you are an EU national or you are coming for a period of study of 6 months or less and you do not have an
IELTS, Cambridge or Pearson test result, you will need to include a formal letter from your university stating the CEFR
level which you have achieved.
Mother tongue:
Language of instruction at home institution:
Details of your English studies at school:
Details of your English studies at university:
External tests results (e.g. IELTS, Cambridge, Pearson):
Results in any other test:
Please enclose copies of these results/certificates with your application.
6. FINANCE
How will you meet the full expenses of living and studying in Bath (including your tuition fees if you are a Visiting
Student)?
For cost of living estimates please see http://www.bath.ac.uk/studentservices/money-service/budgets/index.html
7. YOUR PROPOSED STUDY PROGRAMME
Please read the instructions for Exchange & Visiting Students (www.bath.ac.uk/study/exchange-visiting/ ) in order to
select the units which you wish to study. Choice of units will be subject to availability and cannot be guaranteed in
advance, but your provisional selection will enable the University of Bath and your home institution to make sure that
your choice is broadly appropriate. Students will normally be expected to take between 24 and 30 credits per
semester. Please include at least three additional units as reserves.
For all subject areas except the School of Management, the Unit Catalogue is online at www.bath.ac.uk/catalogues/
For School of Management exchanges please see
http://www.bath.ac.uk/management/courses/undergraduate/bba/international/incoming_students.html
Students must take the majority of their units in the subject area in which the exchange is held. In order to minimise
the potential for timetable clashes (since the timetable is not known in advance), we advise you to take the majority of
your units from one year of one of your department’s degree programmes.
Students may take units from Bachelor’s degree programmes (BA and BSc programmes) and from "undergraduate
Master's" degree programmes (e.g. MBiol, MChem, MEng, MMath, MPharm, and MPhys programmes). These units
are marked Levels 1 to 4 in our Unit Catalogue.
Exchange and Visiting Students are not permitted to take units from postgraduate Master’s and Doctoral degree
programmes. These are marked Levels 5 to 6 in the Unit Catalogue.
Unit code
Unit title
Semester
Number of
credits
First choice or
reserve?
8. APPROVAL OF APPLICATION BY ACADEMIC ADVISOR AT HOME INSTITUTION
This section must be signed by the appropriate academic advisor at your home institution.
I certify that .................................................................................................. (name of student) is a student of good
standing who has the ability and sufficient proficiency in English to complete successfully a course of study at the
University of Bath. The units listed above are appropriate to his/her academic standing and the course currently being
taken. I confirm that this proposed programme of study/learning agreement is recognised and approved.
Name:
................................................................................
Position:
................................................................................
Signature:
................................................................................
Date:
................................................................................
Institution’s stamp:
9. CRIMINAL CONVICTIONS
Before completing this section please read the University’s Policy Statement on Applicants with Criminal Convictions
at http://www.bath.ac.uk/study/ug/apply/admissions/policy/convictions/
9.a. I have read and understood the Policy Statement.
YES
9.b. Do you have a conviction which is described as ‘relevant conviction’ in section 3 of the Policy Statement?
YES
NO
If you answer ‘yes’ to 9.b, the Admissions Office will contact you about this.
10. YOUR DECLARATION
Your data will be held and processed in accordance with UK Data Protection law (Data Protection Act 1988). We will
use the data which you provide in order to process your application as an Exchange or Visiting Student. If you are an
Erasmus or Exchange Student, we will share the data and the outcome of your application with the home institution
which has nominated you to us. By providing your data, you are giving your consent for us to hold and process it as
stated above.
The statements on this form are to the best of my knowledge and belief correct. I understand that any offer of a
place as an Exchange or Visiting Student which I may receive from the University will be based upon the information
given in this form, and that if I am found to have given false information, the offer may be withdrawn.
I understand that the information supplied on this form will be retained by the University and will be used for the
purpose of processing my application. If my application is successful I understand that the information will form part
of my student record. If I am admitted to the University, I agree to abide by the Statutes, Ordinances and Regulations
of the University of Bath for the time being in force.
Signed…………………………………………………..................................................…………
Date ............................
11. CHECKLIST OF SUPPORTING DOCUMENTS REQUIRED (please tick as appropriate)
If you are sending your documents by e-mail, please enclose scanned documents, not photographed documents.
ITEM
ENCLOSED
TO FOLLOW
(Please tick)
(Please tick)
We will not be able
to process your
application until it
is fully complete.
Transcript of home institution subjects and grades (required from ALL
students)
English language results/certificates (school, university, IELTS, Cambridge,
Pearson etc.) / details of English language studies/ academic tutor’s statement
of competence in English language
(required from ALL students except native speakers)
Academic tutor’s reference (required from all Visiting Students only)
Photograph (please attach to front page) (required from ALL students)
Passport (scan or photocopy only) (required for ALL students)