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North2north Student Mobility Program
Application deadlinefor every academic year is February 15.
Section A: Personal Data
| Home Country: | |
| Home institution: | |
| Family Name of applicant: | |
| First Name of applicant: | |
| Gender: | Female Male |
| Date of Birth (dd/mm/yy): | |
| Current Address: | |
| Telephone: | |
| E-mail: | |
| Bank Information and SWIFT code: | |
| Permanent address, telephone, email: (if different from above): | |
| Are you a citizen or permanent resident of the country in which you currently reside? Yes No | |
| If no what citizenship: | |
| Emergency contact name: | |
| Relationship: | |
| Address: | |
| Telephone: | |
| E-mail: |
Section B: Application Information
| Do you apply for north2north scholarship | Yes No |
| If not allocated a scholarship, are you still interested | Yes No |
| Do you apply for tuition waiver:[1](Available at most UArctic North-American Institutions and some Icelandic) | Yes No |
| If not allocated a waiver are you still interested? | Yes No |
| If offered are you interested in paying a domestic fee? | Yes No |
Section C: Academic Information
| Your degree program/ major subject: | |
| Year of Study before the exchange: | |
| Intended year of graduation: | |
| Name of north2north contact person at home institution: |
Section D: Host Higher Education Institution and Program Preferences
Indicate your desired exchange institution and program preferences and be as exact as possible according to name of courses and eventually course codes. Please rank your first three choices according to preference:
| Program/Courses: ……………………………………………………………………………………………………………………………………………………………………………………………… ……………………………………………………………… ……………………………………………………………… |
| Program/Courses: ……………………………………………………………………………………………………………………………………………………………………………………………… ……………………………………………………………… ……………………………………………………………… |
| Program/Courses: ……………………………………………………………………………………………………………………………………………………………………………………………… ……………………………………………………………… ……………………………………………………………… |
Proposed dates of study:
| From (dd/mm/yy): | |
| To (dd/mm/yy): |
Section E: Languages
| Primary Language: | ||
| Other Languages: | Competence, on a scale of 1 to 4 (1 = basic, 4 = fluent) | |
| 1 2 3 4 | ||
| 1 2 3 4 | ||
| Have you taken an English proficiency test (TOEFL, Cambridge language proficiency, etc.): | Yes No | |
| If yes, please indicate type and result: | Type: ……………………………… Exam Result: ………………........... | |
Section F: Indigenous or “Non-traditional” student category
Answering this question is optional.
| Are you an indigenous student? (Indigenous people includes first nation people and aboriginals) | Yes | No |
| Do you fit into a “non-traditional” student category? (“Non-traditional” in this context is if you are living in a remote or very small community, are older than the average student, are a student with family obligations etc.) | Yes | No |
| If “Yes” for fitting into a “non-traditional” student category, please describe how: |
Section G: UArctic Program Student
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