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Application Form for a Study Period at the University
of Applied Sciences of Special Needs Education Zurich

Academic year
20 ___ / ___                  Autumn semester             Spring semester


Home University                                           Receiving University
Name, City                                                University of Applied Sciences of Special Needs Education
                                                          Zurich

Subject Area / Department                                 Desired subject area
                                                                Special needs education
                                                                Pedagogics
                                                                   for people with school difficulties
                                                                   for people with intellectual disabilities
                                                                   for people with physical and multiple disabilities
                                                                   for the deaf and those with impaired hearing
                                                                   for the blind and partially sighted
                                                                Pre-primary special needs education
                                                                Speech and language therapy
                                                                Psychomotor therapy
                                                                Sign language interpretation

                                                          (multiple entries possible)



Personal Information
Last name                                                 First name


Date of birth                                             Nationality


Home address                                              Address valid until


Street                                                    Postcode, City


Country                                                   E-Mail (valid for the full study period)


Telephone                                                 Mobile


Permanent postal address in home country                  c/o
(if different from above)

Street                                                    Postcode, City


Country




International Office           Schaffhauserstrasse 239                     Postfach 5850                      8050 Zürich
Fon +41 (0) 44 317 11 43       Fax +41 (0) 44 317 11 10                    internationaloffice@hfh.ch         www.hfh.ch
To be contacted in case of emergency


Name                                                                        Street


Postcode, City                                                              Country


Telephone                                                                   Mobile


E-Mail




Details of Study At Home University
Date of course begin:


Position of study before beginning the study period at the University of Applied Sciences of Special Needs Education Zurich
Semester:


Language Skills
Native language:


Knowledge of the German language
   Very good      Good      Moderate                  None

Can you follow a lecture in German?
   Yes         No

Where and for how long did you learn German?



Do you intend to attend a language preparation course before beginning your study period at the University of Applied
Sciences of Special Needs Education Zurich?
    No          Yes: where and for how long?
Would you be interested in attending a German language course in Zurich?
    Yes         No

Please send proof of your German language skills (e.g. Goethe-Institute certificate, confirmation from home university) with this application. The
lectures at the University of Applied Sciences of Special Needs Education Zurich are primarily held in the German language.


Details of Study At the University of Applied Sciences of Special Needs Education Zurich
Exact date of study period begin                                           Exact date of study period end


Total duration of study period in weeks


Exact date of arrival in Zurich                                            Exact date of departure from Zurich


It is strongly recommended that you arrive in Zurich at least 1 week before the course start date in order to deal with important administrative and
organisational issues.
Desired study programme
   Lectures / seminars      Internship      Thesis
   Other: what?
Would you be interested in having a student designated as your mentor?
   Yes         No

My study period at the University of Applied Sciences of Special Needs Education Zurich will be carried out within the
framework of the European education programme ERASMUS
    Yes        No
Have you previously received an ERASMUS stipend?
    Yes        No


International Office                       Schaffhauserstrasse 239                          Postfach 5850                              8050 Zürich
Fon +41 (0) 44 317 11 43                   Fax +41 (0) 44 317 11 10                         internationaloffice@hfh.ch                 www.hfh.ch
Recognition of Academic Achievements
The student is expected to complete a learning agreement with the departmental coordinator at his / her home university in order to guarantee
recognition of the academic achievements accomplished in Zurich.


Health and Accident Insurance
Foreign students attending a Swiss university for one or two semesters are bound by law to organise adequate insurance coverage. Health and
accident insurance policies commonly accepted abroad are not necessarily valid in Switzerland. Personal liability insurance is also
recommended. Further information can be found at: www.hfh.ch/internationaloffice


Finances
I hereby confirm that the finances for my study period in Zurich are guaranteed. My study period in Switzerland will be financed
by
    Stipend       Savings        Parents      Foundation        Other

In order to obtain a residence permit for Switzerland it is necessary to provide proof of financial security in the form of a written stipend
confirmation, a letter from your parents or bank statements. The cost of living in Zurich is ca. CHF 1000 – 2000 per month.


Accommodation
Are you interested in accommodation mediated by the University of Applied Sciences of Special Needs Education Zurich
    Yes         No

From when to when?


Preferred accommodation
    Room in a student halls of residence               Room in a flat-share with other students               Guest family
    Own apartment       Other: which?

Please note: The mediation of accommodation by the University of Applied Sciences of Special Needs Education Zurich cannot be guaranteed.
The few student halls of residence in Zurich normally require payment for the whole study period in advance (min. 5 – 6 months), even if you
leave earlier. Further information can be found at: www.hfh.ch/internationaloffice


Coordinator at Home University
Department Coordinator                                                        University Coordinator


Telephone                                                                     Telephone


E-Mail                                                                        E-Mail


Signature                                                                     Signature




Signature
I hereby confirm that I have read and understood this form and answered all questions completely and truthfully.

City / Date                                               Signature of the Student




Supplements
Please include the following documents with this application form:
- A personal letter of application
- A letter of recommendation from your home university (in German, English, French or Spanish)
- A copy of your identity card or passport
- A copy of a health and accident insurance policy valid for the full duration of the study period at the University of Applied
  Sciences of Special Needs Education Zurich (European health insurance card for EU members)
- Evidence of current German language knowledge (if possible)

Applications are to be made by post to the following address:

University of Applied Sciences of Special Needs Education, International Office


International Office                        Schaffhauserstrasse 239                            Postfach 5850                               8050 Zürich
Fon +41 (0) 44 317 11 43                    Fax +41 (0) 44 317 11 10                           internationaloffice@hfh.ch                  www.hfh.ch

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University of Applied Sciences of Special Needs Education Zurich

  • 1. Photo Application Form for a Study Period at the University of Applied Sciences of Special Needs Education Zurich Academic year 20 ___ / ___ Autumn semester Spring semester Home University Receiving University Name, City University of Applied Sciences of Special Needs Education Zurich Subject Area / Department Desired subject area Special needs education Pedagogics for people with school difficulties for people with intellectual disabilities for people with physical and multiple disabilities for the deaf and those with impaired hearing for the blind and partially sighted Pre-primary special needs education Speech and language therapy Psychomotor therapy Sign language interpretation (multiple entries possible) Personal Information Last name First name Date of birth Nationality Home address Address valid until Street Postcode, City Country E-Mail (valid for the full study period) Telephone Mobile Permanent postal address in home country c/o (if different from above) Street Postcode, City Country International Office Schaffhauserstrasse 239 Postfach 5850 8050 Zürich Fon +41 (0) 44 317 11 43 Fax +41 (0) 44 317 11 10 internationaloffice@hfh.ch www.hfh.ch
  • 2. To be contacted in case of emergency Name Street Postcode, City Country Telephone Mobile E-Mail Details of Study At Home University Date of course begin: Position of study before beginning the study period at the University of Applied Sciences of Special Needs Education Zurich Semester: Language Skills Native language: Knowledge of the German language Very good Good Moderate None Can you follow a lecture in German? Yes No Where and for how long did you learn German? Do you intend to attend a language preparation course before beginning your study period at the University of Applied Sciences of Special Needs Education Zurich? No Yes: where and for how long? Would you be interested in attending a German language course in Zurich? Yes No Please send proof of your German language skills (e.g. Goethe-Institute certificate, confirmation from home university) with this application. The lectures at the University of Applied Sciences of Special Needs Education Zurich are primarily held in the German language. Details of Study At the University of Applied Sciences of Special Needs Education Zurich Exact date of study period begin Exact date of study period end Total duration of study period in weeks Exact date of arrival in Zurich Exact date of departure from Zurich It is strongly recommended that you arrive in Zurich at least 1 week before the course start date in order to deal with important administrative and organisational issues. Desired study programme Lectures / seminars Internship Thesis Other: what? Would you be interested in having a student designated as your mentor? Yes No My study period at the University of Applied Sciences of Special Needs Education Zurich will be carried out within the framework of the European education programme ERASMUS Yes No Have you previously received an ERASMUS stipend? Yes No International Office Schaffhauserstrasse 239 Postfach 5850 8050 Zürich Fon +41 (0) 44 317 11 43 Fax +41 (0) 44 317 11 10 internationaloffice@hfh.ch www.hfh.ch
  • 3. Recognition of Academic Achievements The student is expected to complete a learning agreement with the departmental coordinator at his / her home university in order to guarantee recognition of the academic achievements accomplished in Zurich. Health and Accident Insurance Foreign students attending a Swiss university for one or two semesters are bound by law to organise adequate insurance coverage. Health and accident insurance policies commonly accepted abroad are not necessarily valid in Switzerland. Personal liability insurance is also recommended. Further information can be found at: www.hfh.ch/internationaloffice Finances I hereby confirm that the finances for my study period in Zurich are guaranteed. My study period in Switzerland will be financed by Stipend Savings Parents Foundation Other In order to obtain a residence permit for Switzerland it is necessary to provide proof of financial security in the form of a written stipend confirmation, a letter from your parents or bank statements. The cost of living in Zurich is ca. CHF 1000 – 2000 per month. Accommodation Are you interested in accommodation mediated by the University of Applied Sciences of Special Needs Education Zurich Yes No From when to when? Preferred accommodation Room in a student halls of residence Room in a flat-share with other students Guest family Own apartment Other: which? Please note: The mediation of accommodation by the University of Applied Sciences of Special Needs Education Zurich cannot be guaranteed. The few student halls of residence in Zurich normally require payment for the whole study period in advance (min. 5 – 6 months), even if you leave earlier. Further information can be found at: www.hfh.ch/internationaloffice Coordinator at Home University Department Coordinator University Coordinator Telephone Telephone E-Mail E-Mail Signature Signature Signature I hereby confirm that I have read and understood this form and answered all questions completely and truthfully. City / Date Signature of the Student Supplements Please include the following documents with this application form: - A personal letter of application - A letter of recommendation from your home university (in German, English, French or Spanish) - A copy of your identity card or passport - A copy of a health and accident insurance policy valid for the full duration of the study period at the University of Applied Sciences of Special Needs Education Zurich (European health insurance card for EU members) - Evidence of current German language knowledge (if possible) Applications are to be made by post to the following address: University of Applied Sciences of Special Needs Education, International Office International Office Schaffhauserstrasse 239 Postfach 5850 8050 Zürich Fon +41 (0) 44 317 11 43 Fax +41 (0) 44 317 11 10 internationaloffice@hfh.ch www.hfh.ch