STUDENT APPLICATION FORM Please attach a recent passport photograph ACADEMIC YEAR 2011 / 2012 Study Programme: 1. INFORMATION ABOUT HOME INSTITUTION Home Institution: Erasmus ID Code: Coordinator: Tel: + E-mail: 2. STUDENT Family name: Civ Reg No (860101-1397): Sex: Male Female Rank: Current address: First name(s): Place of Birth: Nationality: Passport Number: Permanent address (if different): Current address is valid until: Tel.:+ Tel.:+ E-mail: Previous/Current studies Diploma/degree for which you are currently studying: Number of higher education study years prior to departure abroad: Please attach a transcript including full details of previous and current higher education study. 3. FUNDING Have you already studied abroad with an ERASMUS grant? Yes No Do you wish to apply for an Erasmus mobility grant to assist towards the additional costs of your study period abroad? Yes No
4. LANGUAGE SKILLS Mother tongue: Please indicate your language skills other than mother tongue: 1) Language Fluent Good Moderate Limited None 2) Language Fluent Good Moderate Limited None 3) Language Fluent Good Moderate Limited None Will you, if necessary, study the language of the host institution before the exchange period? Yes No 5. REASON FOR APPLICATION Please explain why you wish to study abroad. Use at least 1500 characters, but not more than 2000 (including spaces): 2
6. LIST OF CHOICE Please list the institutions where you would like to study (in order of preference): 1. Institution Country Period of study from to Duration of stay (months) 2. 3. 7. DESCRIPTION OF COURSE AT HOST INSTITUTION Period of study Duration of stay (months) from to Teaching method* N of expected ECTS credits *(1)one-to-one teaching, (2)small group teaching, (3)lecture, (4)thesis, (5)other 8. ADDITIONAL INFORMATION 9. SIGNATURES HOME INSTITUTION Student: Date: International Coordinator: Date: 4
10. CHECK LIST FOR OFFICE USE Host Institution Application received:... Ladok transcript received Additional language certificate Additional information Accepted Not accepted Result sent to candidate Result sent to host institution Transcript received from host institution:... Notes for Guidance GENERAL INFORMATION All enquiries and applications for exchange programmes must be made through the International Coordinator in your home institution. When this form is completed you must print it, sign it and send it by mail to the International Coordinator. Please write in BLOCK LETTERS this will help the host institution to avoid mistakes when they process your form. You should complete each section. Application form and deadline Please complete the form as fully and as clearly as possible. The International Coordinator will inform you about the application deadline for your preferred host institution(s). Other forms Some institutions may require extra documentation with your application; you may for example be asked to complete a second application form. COMPLETING THIS APPLICATION FORM 1. INFORMATION ABOUT HOME INSTITUTION This box is to be completed by the international co-ordinator. 2. STUDENT This box is to be completed by the student. Don t forget to attach a LADOK transcript including full details of previous and current higher education to this application! Write an e-mail to studieintyg@fhs.se to get a LADOK transcript. In the e-mail you have to write your name, civil registration number (personnummer), your address and that you want a study result certificate (resultatintyg) to be sent as a pdf to your e-mail address. You have to attach this LADOK transcript to this application. If you are missing credits (HP) please explain why. Please attach your High School Diploma to this application. 3. FUNDING This box is to be completed by the student. 4. LANGUAGE SKILLS This box is to be completed by the student. You will be expected to have proficiency in the language used for tuition (English) in the host institution and you will gain most benefit from your exchange if you have some proficiency in the country s native language. 5
5. REASON FOR APPLICATION This box is to be completed by the student. Write why you want to study abroad. What do you expect from the period abroad? How will the study period abroad make you a better officer? 6. AREA OF STUDY This box is to be completed by the student. Describe what you want to write your bachelor thesis about. If possible, give an abstract. If you really have no idea, at this stage what you want to write about, please at least state your area of interest 7. LIST OF CHOICE This box is to be completed by the student. Please list the institutions where you would like to study (in order of preference). The maximum number of choice is three. 8. DESCRIPTION OF COURSE AT HOST INSTITUTION This box is to be completed by the student. 9. ADDITIONAL INFORMATION This box is to be completed by the student. If you have additional information you would like to add to this application please write this in this box. If you have some kind of certificate or copy of diploma (equiv.) please attach this to this application. 10. SIGNATURES HOME INSTITUTION This box is to be completed by both the student and the home institution. The student print, sign and send the application to: Försvarshögskolan Sofie Alvarsson Box 27 805 115 93 STOCKHOLM 11. CHECK LIST FOR OFFICE USE This box is to be completed by the home institution. 6