Please glue your photograph 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. st th 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)