6
Exchange student
Application Form 2016-2017
1st semester deadline: April, 15th
2nd semester deadline: Oct, 15th
1. Personal data: (please print)
Please write in CAPITAL letters! Thank you.
Title (Mr or Ms)Surname / Family Name (s):
First name(s):
Nationality indicated on passport:
Sending Home University:
Date of birth: (ex: day-month-year)
Place of birth (Town + Country):
Passport number:
Issued at:
Valid until:
Tel:
Private Email:
Personal and permanent address:
Street
Town
Postal Code
Country
2. Sending Home Institution:
Name of InstitutionCampus of sending university (if any):
Faculty of sending university:
International Coordinator
Telephone / + (country code)
Tutor / Professor
Telephone / + (country code)
3. Health or Travel insurance:
è I have read the French Health Care Coverage chapter in the Student Guide. YES□ NO□ if not, make sure you read it well before your arrival
Ø For non-European students:
You might also have to justify a private insurance when you apply for your French VISA but this is an extra cover and is not a substitute for the French Health Care Coverage (215 euros in 2015/2016)
The French Health Care coverage is compulsory if you’re studying in France for more than 3 months. Please refer to the Student Guide.
4. Emergency contact
Next of Kin(Mr / Ms NAME, Firstname)
Telephone / + (country code)
Relationship
Language spoken by this person
5. Your Language Competences
please refer to the European reference for your level as below
Débutant / Elémentaire / Intermédiaire / Intermédiaire supérieur / Avancé / Avancé supérieur
Beginners / Elementary / Intermediate / Upper intermediate / Advanced / Proficiency
Language / Level (from A1 to C1*) *refer to the above table
1st Foreign language or native Language
2nd Foreign Language
3rd Foreign Language
6. Language requirements at EM Normandie
For students participating in the programmes taught in English:
ü UNDERGRADUATE programmes:
B2 , TOEIC 700, TOEFL IBT 79 –CBT 210, IELTS 6.0
GRADUATE programmes:
B2, TOEIC 790, TOEFL IBT 88 –CBT 230, IELTS 6.5
ü or letter of recommendation from your university attesting that your level of English meets our requirements
ü or letter confirming that the student is completing or has completed studies in programmes taught in English
ü Exempt: students for whom English is the native language
***
For students participating in the programmes taught in French:
ü B2 , DELF, DALF, TCF scores (Undergraduate and Graduate programmes)
ü or letter of recommendation from home university attesting that the student level of French meets our requirements
ü or letter confirming that the student is completing or has completed studies in programmes taught in French
ü Exempt: students for whom French is the native language
7. Previous and current studies
Please indicate:Diploma/Degree for which you are currently studying for / Bachelor ☐ OR Master ☐
Number of years in higher education
prior to departure abroad
Expected graduation date:
If you don’t already have your Bachelor.
Undergraduate studies
(indicate degrees obtained and institution):
Will you validate subjects in your home university with
the EM Normandie learning agreement? / YES ☐ NO☐
8. Your choice of programme
IMPORTANT NOTES:
- International students must choose a programme from the following list and it is mandatory to study all subjects in the chosen programme. And, students cannot pick subjects from different programmes.
- The International Relations Office reserves the right to choose the campus when necessary.
- Make sure that you choose a programme according to your level of study (number of ECTS credits)
UNDERGRADUATE / GRADUATE
U1 (1st year) / U2 (2nd year) / U3 (3rd year) / U4 or M1 (4th year) / M2 (5th year)
60 ECTS / 120 ECTS / 180 ECTS / 240 ECTS / 300 ECTS
What is your level of study before coming to EM Normandie? / Simple exchange students / Exchange students Double Degree
You will have completed 2 years of study, 120 ECTS credits before coming to EM Normandie. / Bachelor programmes / Bachelor programmes
You are a 3-year Bachelor Degree student, you will have completed 180 ECTS credits and you will be graduated when you come to EM Normandie. / M1 or M2 programmes
Or you are a 4-year Bachelor Degree student and you will have completed 3 years of Bachelor study, 180 ECTS credits. / Bachelor or M1 programmes
You are graduated, you obtained your Bachelor Degree and you have completed 240 ECTS credits. / M1 or M2 Programmes / M2
(Degree: Grade de Master or MSc)
è BACHELOR PROGRAMMES
Programme: / Programme taught in: / Options:30 ECTS credits/sem / Choice of campus:
↓ / Please tick to indicate your choice of programme
↓
Bachelor Management International
(BMI) / English / Option 1: International Business / Caen campus:
For Non-degree seeking students only / ☐
Le Havre campus:
For Double Degree students only / ☐
French / Option 2: Logistique Internationale / Caen Campus / ☐
European Business Program ( EBP) / English / Caen Campus / ☐
Undergraduate
year 3 (U3) / French / Le Havre Campus / ☐
Undergraduate
year 3 (U3) / English / Le Havre Campus / ☐
è GRADUATE PROGRAMMES – M1
30 ECTS credits/sem / Please tick to indicate your choice of programme
↓
M1- International
Management
Programme (IMP) / English / Le Havre Campus / ☐
M1 - General Management Programme (M1)
(sem1 only) / French / Le Havre Campus
(Sem1 only) / ☐
è GRADUATE PROGRAMMES – M2
↓
M2
/ English / Option 1: International Logistics and Port Management -ILPM
Le Havre Campus / ☐
English / Option 2: Supply Chain Management –SCM (Le Havre Campus) / ☐
English / Option 3: International Business (Le Havre Campus)
This programme is sub-devised in 2-months periods;
Students can attend either a 2-month or 4-month period earning thus the corresponding ECTS:
Semester 1 period 1: Sept and Oct
period 2: Nov and Dec
Semester 2 period 1: Jan and Feb
period 2: March and April
☐
☐
☐
☐
English / Option 4: Cross-Cultural Marketing and Negotiation-CCMN
Caen Campus / ☐
English / Option 5: Events Management
Paris Campus / ☐
M2
/ French / Option 1: Marketing et stratégie commerciale
Le Havre Campus / ☐
French / Option 2: Startup et Développement numérique
Le Havre Campus / ☐
French / Option 3: Audit et finance d’entreprise
Le Havre Campus / ☐
French / Option 4: Finance des groupes
Caen Campus / ☐
French / Option 6: Manager des Systèmes d’Information
Caen Campus / ☐
French / Option 5:
Management des Compétences et Gestion des Ressources Humaines
Paris Campus / ☐
9. Registration Summary
EM Normandie Programme* for which you apply(*please refer to the above list)
Are you a Double Degree student? / Yes ☐ / No ☐
Period for all programs apart from M2 IB* / Fall (Sem 1) ☐ / Spring (sem2) ☐ / Year (Fall + Spring ) ☐
Only for *M2IB International Business in Le Havre campus! / Fall - Sem 1: / Spring – Sem 2:
Sept – Oct ☐ / Nov – Dec ☐ / Jan – Feb ☐ / March –April ☐
The sending institution
Responsible Signature + date + stamp
Student’s signature + date
10. Check list
COMPULSORY: Documents to be attached
Please tick below:☐ / · Application fully completed in CAPITAL letters
☐ / · 1 Identity photo
☐ / · Last transcripts of record.
☐ / · Copy of your Bachelor degree or attestation for Master Students
☐ / · Proof of Language Level for the langue of studies
To be returned fully completed to:
No need to send originals by post, we accept scanned application forms
Deadline for 1st semester: April, 15th
Deadline for 2nd semester: Oct, 15th