Student Exchange Programme Online Application Form

PERSONAL INFORMATION

Title (*)

Surname (Family Name / Last Name) (*)

Full name/First name(s) as it appeared on your passport (*)

Date of Birth (Day/Month/Year) (*)

Place of birth (*)

Country of birth (*)

Marital Status (*) Single
Married

Citizenship (*)

Passport number (*)

Passport expiry date (Day/Month/Year) (*)

Home language (*)

CONTACT DETAILS AND ADDRESS

Phone/Mobile number (*)

Email address (*)

Home address (*)

Father's profession (*)

Mother's profession (*)

Exchange coordinator name (*)

Exchange coordinator email address (*)

Emergency Contact - Name and Surname (*)

Emergency Contact - Email address/Phone number (*)

Emergency Contact - Relationship to applicant (*)

LOGISTICAL INFORMATION

Which Student Exchange Program do you follow ? (*) Erasmus +
Bilateral Exchange

Year of Exchange (as at Start of exchange) (*)

Duration of Exchange (*) Semester 1 (September-January)
Semester 2 (January-June)
Full Year

ACADEMIC INFORMATION

Last qualifications (*)

Year of the last qualification obtained (*)

Home University (*)

Are you a(n) ? (*) Postgraduate student
Undergraduate student

How many education semesters have you completed by the time of your intended semester at ESTRI ? (*)

Programme undertaken at home university (*)

English language level (according to EFRL) (*)

French language level (according to EFRL) (*)

COURSE APPLICATION

Number of required credits at home university (Exchange students are limited to 30 ECTS per semester) (*)

Please select your courses from the ESTRI following list (*) S01 CN/DE/EN/ES/IT History and Civilisation (4 ECTS)
S01 CN/DE/EN/ES/IT Intercultural Interpretation (4 ECTS)
S01 FR The French-speaking World (4 ECTS)
S03 CN/DE/EN/ES/IT Civilisation (4 ECTS)
S05 CN/DE/EN/ES/IT Civilisation (4 ECTS)
S03 EN Marketing (4 ECTS)
S05 EN Analysing the Life of a Business (4 ECTS)
S03 EN The Business World (4 ECTS)
S03 FR Interculturality (4 ECTS) * MANDATORY
S05 FR The Legal and Trade Environment (outside of Europe) (4 ECTS)
S05 FR The Legal and Trade Environment (Europe) (4 ECTS)
S01 FR Improve your Syntax and Vocabulary (4 ECTS)
S03 CN/DE/EN/ES/IT Business Communication (4 ECTS)
S03 CN/DE/EN/ES/IT Specialised communication (4 ECTS)
S03 CN/DE/EN/ES/IT Professional Communication (4 ECTS)
S01 CN/DE/EN/ES/IT Grammar and Translation (French into Target Language (4 ECTS)
S01 CN/DE/EN/ES/IT Translation (Target Language into French) (4 ECTS)
S03 CN/DE/EN/ES/IT Translation (Target Language into French) (4 ECTS)
S03 CN/DE/EN/ES/IT Translation (French into Target Language) (4 ECTS)
S05 CN/DE/EN/ES/IT Translation (French into Target Language) (4 ECTS)
S05 CN/DE/EN/ES/IT Applied Foreign Languages and Translation (4 ECTS)
S05 CN/DE/EN/ES/IT Interpretation (4 ECTS)

1st course selected from the UCLy list (see below course title + number of ECTS) :

2nd course selected from the UCLy list (see below course title + number of ECTS) :

ATTACHMENTS FOR ALL STUDENTS

Learning Agreement (before mobility) (Mandatory for EU Students only)

Academic Transcript (all semesters) (*)

Proof of enrolment at your home university (*)

Passport copy (*)

Nomination by home university (*)

Proof of English and French proficiency

Health Coverage (EU Students)

ATTACHEMENTS FOR NON-EUROPEAN STUDENTS ONLY

Full copy of the birth certificate (certified translation, the authentication stamp must be fully visible)

Copy of the long-stay visa valid as a resident permit (Non EU Students only)

AFPICL collects personal data to ensure the administrative and pedagogical management of the students’ files applying to data protection policy that you may find in the following link : http://www.ucly.fr/donnees-personnelles/

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