Student Application HAMU 13-14.doc

8/13/2019 Student Application HAMU 13-14.doc

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ECTS - EUROPEAN CREDIT TRANSFER AND ACCUMULATION SYSTEM

STUDENT APPLICATION FORM

All applications for exchange programmes mustbe made through the International Exchange Co-

ordinator in the home institution. This application should be completed in BLACK.

Home Institution:

Academy of Pefomin! Ats in Pa!ue" Music and Dance Facu#ty .................................................

Erasmus ID Code C$ Pa%a&'....................................

Coordinator !adim Dolans"# ......................................

Tel$%&' &(% &%% )(*....................................................

+ax$%&' &, ,(' */...................................................

E-mail radim.dolans"01hamu.c2 ...................

STUDENT

+amil0 name......................................................................................

Date of birth..................................................Age......................

3ex 4ale +emale

Current address ...........................................................................

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Current address is 5alid until..........................................

Tel.$...........................................................................................................

+ax $..........................................................................................................

E-mail .......................................................................................................

+irst name6s7............................................................................

8lace of Birth ............................................................................

9ationalit0....................................................................................

8ermanent address 6if different7........................

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Tel.$...................................................................................................

+ax $..................................................................................................

E-mail ...............................................................................................

Pe(ious)Cuent studies

Diploma:degree for ;hich 0ou are currentl0 stud0ing .................................................................................................

8rofessor in main field of stud0 ..............................................................................................................................................................

9umber of higher education stud0 0ears prior to departure abroad ...........................................................

8lease attach a transcript including full details of pre5ious and current higher educationstud0. Details not "no;n at the time of application should be pro5ided at a later stage.

C%ec* List FOR OFFICE USE

Host InstitutionApplication recei5ed..................................................................Learning Agreement< recei5ed..............................8ro5isionall0 accepted!esult sent to coordinator

!ecorded performance AuditionTranscript< recei5ed ..................................................9ot accepted!esult sent to candidate

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ACADE4IC =EA! +&,-)+&,'

3tud0 8rogramme .................................................................................................................... ...

8rincipal stud0 sub>ect ...........................................................................................................
mailto:[email protected]:[email protected]


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DESIRED COURSES AT HOST INSTITUTION

8eriod of stud0

from to

Duration

of sta0

6months7

9? of expectedECT3 credits

8referred 8rofessor at @ost

Institution for main sub>ect 6if

applicable7

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Course unit code 6ifa5ailable7

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Course unit title 6as indicated inthe information pac"age7

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9umber of ECT3credits

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6)7one-to-one teaching< 6&7small group teaching< 6(7lecture< 6%7other

LAN.UA.E S/ILLS

4other tongue .......................................................................................................................................................................................................

8lease indicate 0our language s"ills other than mother tongue

)7 Language +luent ood 4oderate Limited 9one

&7 Language +luent ood 4oderate Limited 9one

(7 Language +luent ood 4oderate Limited 9one

ill 0ou< if necessar0< be stud0ing the language of the host institution before theexchange period =es 9o

8lease explain ;h0 0ou ;ish to stud0 abroad..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................

LIST OF APPLICATIONS

8lease list the institutions ;hich ;ill recei5e this application form 6in order of

preference7

Institution 8referred

professor

Countr0 8eriod of stud0

from to

Duration of

sta0 6months7

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8lease inform the other institutions immediate#yif 0ou are admitted at an institutionF

AUDITION

If the recei5ing institution reGuires 0ou to send in a certified recording of 0our audition

repertoire< please fill in the follo;ing

I ha5e included a certified recording of m0 audition repertoire =es 9o

List of pieces performed on 0our recording..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................

8lease let the teacher of 0our main sub>ect sign the recording to certif0 that the recording is 0our o;n

performance.

FUNDIN.

@a5e 0ou alread0 been stud0ing abroad ;ith an E!A34H3 grant =es 9o

Do 0ou ;ish to appl0 for an Erasmus mobilit0 grant to assist to;ards the additional

costs of 0our stud0 period abroad =es 9o

SI.NATURES HOME INSTITUTION

3tudent........................................................................................................................................................... Date................................................

8rofessor:Tutor...................................................................................................................................... Date................................................

@ead of Department........................................................................................................................ Date................................................

International Coordinator.......................................................................................................... Date................................................

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Notes fo .uidance,

.ENERAL INFORMATIONAll enGuiries and applications for exchange programmes must be made through theInternational Coordinator in 0our home institution.

To facilitate general procedures< please use e-mail until the point of mutualconfirmation:signatures. A00#ication fom and dead#ine

8lease complete the form as full0 and as clearl0 as possible. The InternationalCoordinator ;ill inform 0ou about the application deadline for 0our preferred hostinstitution6s7.

Ot%e foms3ome institutions ma0 reGuire extra documentation ;ith 0our application 0ou ma0for example be as"ed to complete a second application form.

COMPLETIN. THIS APPLICATION FORM8lease ;rite in BLJCK LETTE!3 this ;ill help the host institution to a5oid mista"es

;hen the0 process 0our form. =ou should complete each section.

STUD1 DETAILS

Pinci0a# study su23ect

Jnl0 state 0our principal stud0 discipline< in ;hich 0ou ;ish to be auditioned. If 0ou;ish to audition for more then one discipline< 0ou should complete a separateapplication for each one.

Tansci0t inc#udin! fu## detai#s of 0e(ious and cuent %i!%e educationstudyThis has to be issued b0 the home institution< not to be mista"en ;ith the final

transcript of recordsM ;hich ;ill be issued b0 the host institution at the end of theexchange period.

LAN.UA.E COMPETENCE=ou ;ill normall0 be expected to ha5e some proficienc0 in the language used for tuition inthe host institution and 0ou ;ill gain most benefit from 0our exchange if 0ou ha5e someproficienc0 in the countr0Ms nati5e language.

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8lease read also the 4E50#anatoy note fo t%e use of t%e standad ECTS6fomsde(e#o0ed 2y AEC7.

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Documents

Student Application HAMU 13-14.doc