Application Form for Exchange Students Spring 2012
Linköping University,
Educational Sciences

Page 1 (of 2)

Required fields are marked with an asterisk (*).


Personal Data

Given/first name*
Family name*
Date of birth*
Day Month Year
Four last numbers/P-number (if you have studied at LiU before)
Gender
Citizenship*

Current address

Valid from (date)
Valid to (date)
C/O (name on the door if it is different from your own name)
Street and number*
Postal code*
City*
Country*
Email*
Telephone number (incl country code)*
Mobile/cell phone

Permanent address

Valid from (date)
C/O (name on the door if it is different from your own name)
Street and number*
Postal code*
City*
Country*
Email
Telephone number (incl country code)*
Mobile/cell phone

Academic Data

Exchange Programme*
Sending university
If your university is not in the list please write the name here
(incl telephone, fax, and e-mail)
Coordinator/Contact person at sending university
(incl telephone, fax, and e-mail) *Compulsory
Present university studies
Current year of study
Previous university studies: Bachelor Years
Previous university studies: Master Years
  

Period of Study at Linköping University

Spring semester:

Orientation Programme (attendance to the Orientation in mid-January is compulsory)
Start: 23/January/2012
End: 10/June/2012

Your Study period at LiU - Semester:

From: Day Month Year

To: Day Month Year

Note that even if you are planning on studying at Linköping University for 3 months, it is important that you arrive at the beginning of the semester (don't forget to specify this in the "Comments" section).


Swedish Language Courses

Please note that the credit courses are only open to students studying at Linköping University for at least one whole semester! They are given as part time courses during the whole semester. Please add it to your Learning Agreement below if you wish to take one of them.


Preliminary Study Plans at Linköping University (Learning Agreement)

Please state what courses you want to apply for.

Spring semester (VT)

1st period (Please note that some of these courses run during the whole semester)

2nd period

Part time courses (if you want to choose more than 1 part-time course, use the Comments section)

Swedish language course (evening course)

Exchange students also have the possibility to select courses from the Faculty of Arts and Sciences. Write the full name of the course and its code and credits value in the following box.

 

COMMENTS:

If you wish to study more than one Part-time course or a course taught in Swedish, write the course name here. If you have any other comment, you are also welcome to write it here.


Accomodation

If you wish to apply for student accomodation in Linköping, select below:

Yes, I need student accomodation

No, I do not need student accomodation

From: Month Year

Please note that you have to book accommodation in Norrköping separately, directly to the housing company
Studentbo. More information and application forms can be found at www.studentbo.se

I will apply to Studentbo in Norrköping on www.studentbo.se separately


Contact information in case of emergency

This information will be used by Linköping University in case an emergency situation takes place once you are in Linköping. List the name, address, and telephone number of at least one person that we may contact in case of an emergency (example: mother, father, etc).

Full name
Address
Telephone number (incl country code)
Mobile/cell phone (incl country code)

 

Please check the information carefully before clicking on the button "Submit" to continue! Do not print this page. Please wait until your application is recorded and print the next page. Follow the instructions on the print-out.


Responsible for application form: Lotta Ericson