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application form studio con note - conservatorio
ECTS - EUROPEAN CREDIT TRANSFER AND ACCUMULATION SYSTEM STUDENT APPLICATION FORM PREPARARE 1 COPIA PER OGNI ISTITUZIONE CHE SI CHIEDE + 1 COPIA PER L'UFFICIO ERASMUS Please attach a recent passport photograph ACADEMIC YEAR 2016/2017 Study Programme: VEDI SOTTO................................................................................. Principal study subject: ........................................................................................................... RICORDATI DI ATTACCARE UNA FOTO! PROGRAMME = nome del corso di diploma, specificare se Triennio o Biennio; es: Bachelor of Music in Violin (se Triennio di Violino), opp: Master of Music in Popular Music (se Biennio di Pop) PRINCIPAL STUDY SUBJECT = nome dello strumento/insegnamento principale (es: Voice opp Composition) All applications for exchange programmes must be made through the International Exchange Coordinator in the home institution. This application should be completed in BLACK. Home Institution Conservatorio di Musica “L. Refice” - Frosinone - Italy .......................................................................................................................................................................................................................................................... Erasmus ID Code: I FROSINO02............................ Tel: +39 340 3486034 (mobile).................... Coordinator: Lucia Di Cecca........................................... Fax:+39 0775 202143................................................ E-mail: [email protected] .............................................................................. STUDENT Family name:........................................... First name(s):...................................... Date of birth:........................ Age:........... Place of Birth: ..................................... Sex: Nationality:.......................................... Male Female Current address: SCRIVI IL TUO INDIRIZZO ATTUALE COMPLETO: VIA, CAP, CITTA', PAESE (cioè Italia)............ .............................................................. Current address is valid until:.................... Tel.:+..................................................... Fax: +..................................................... E-mail: ................................................... Permanent address (if different): SCRIVI QUI LA TUA RESIDENZA SOLO SE E' DIVERSA DALL'INDIRIZZO CHE HAI SCRITTO COME "CURRENT ADDRESS" ..................... .......................................................... .......................................................... Tel.:+................................................. Fax: +................................................. E-mail: ............................................... Previous/Current studies Diploma/degree for which you are currently studying: NOME DEL CORSO DI DIPLOMA, SPECIFICARE ANNO DI CORSO (ES. BACHELOR OD MUSIC IN VIOLIN, 3RD YEAR, ECTS - EUROPEAN CREDIT TRANSFER AND ACCUMULATION SYSTEM OPP. MASTER OF MUSIC IN POPULAR MUSIC, 2ND YEAR) ............................................................................................................................. Professor in main field of study: INDICA IL DOCENTE DELLA MATERIA PRINCIPALE Number of higher education study years prior to departure abroad: numero di anni di studio prima della partenza; es: se iscritto ora al 2° anno del Triennio scrivere 2; se iscritto al 1° anno del Biennio, scrivere 4 (3 anni di Triennio + 1 anno di Biennio); se iscritto a un Diploma tradizione considerare solo gli ultimi tre anni (es: se iscritto al 9° di pianoforte scrivere 2)....................................................... Please attach a transcript including full details of previous and current higher education study. Details not known at the time of application should be provided at a later stage. Check List FOR OFFICE USE NON Host Institution Application received:.................................................................. Learning Agreement, received: .............................. Provisionally accepted Result sent to coordinator SCRIVERE IN QUESTO BOX Recorded performance Audition Transcript, received: .................................................. Not accepted Result sent to candidate DESIRED COURSES AT HOST INSTITUTION Period of study from to VEDI SOTTO DD/MM/YY YY DD/MM/YYY Y ............... ............... Duration of stay (months) N° of expected ECTS credits VEDI SOTTO VEDI SOTTO Preferred Professor at Host Institution for main subject (if applicable) VEDI SOTTO 1. ..................................... 2. ..................................... .................. ............ 3. ..................................... -Period of study = ciascuna istituzione ha un proprio calendario accademico; se non si ha certezza dell'esatto inizio e conclusione delle lezioni nelle istituzioni che si richiedono, si suggerisce: se si chiede di frequentare un semestre all'estero: indicare da settembre a gennaio (5 mesi) oppure da febbraio a giugno (5 mesi); se si chiede di frequentare un anno: indicare da settembre a giugno (10 mesi); SE DECIDETE DI ANDARE IN ERASMUS PER UN SEMESTRE, VI SUGGERIAMO CALDAMENTE DI ANDARE NEL PRIMO! -N° of expected ECTS credits = indicare 30 per un semestre e 60 per un anno - Preferred Professor = specificare solo se si sa con esattezza con quale docente si vorrebbe andare a studiare, rispettando l'ordine delle istituzioni chieste, ALTRIMENTI NON SCRIVERE NIENTE Course unit code (if available) Course unit title (as indicated in the information package) Teaching method* non scrivere niente................. elencare le materie che si intende frequentare all'estero (le stesse indicate sul learning agreement; se si presentano learning agreement diversi per le varie istituzioni, scrivere “as non scrivere niente. . . ........................... ........................... ........................... ............. ............. ............. Number of ECTS credits non scrivere niente.............. ........................ ........................ ........................ ECTS - EUROPEAN CREDIT TRANSFER AND ACCUMULATION SYSTEM ........................... ........................... ........................... ........................... ........................... described in the Learning Agreement”)......................... ............................................. ............................................. ............. ........................ ............. ........................ ............. ........................ ............. ........................ ............................................. ........................ *(1)one-to-one teaching, (2)small group teaching, (3)lecture, (4)other LANGUAGE SKILLS Mother tongue: indicare la propria lingua madre (di solito per i nostri studenti è l'italiano) Please indicate your language skills other than mother tongue indicare le lingue che si conoscono, specificando il proprio livello di competenza con un pò di ottimismo ma senza discostarsi troppo dalla realtà ...: 1) Language________________ Fluent Good Moderate Limited None 2) Language________________ Fluent Good Moderate Limited None 3) Language________________ Fluent Good Moderate Limited None Will you, if necessary, be studying the language of the host institution before the exchange period? Yes No barrare yes se volete imparare la lingua del paese dove vi recherete ECTS - EUROPEAN CREDIT TRANSFER AND ACCUMULATION SYSTEM Please explain why you wish to study abroad MetteTe in evidenza quanto sia importante per voi realizzare l'esperienza Erasmus e per quali motivi e cosa pensate di ricavarne; nel caso alleghiate una lettera di motivazione, potete scrivere "as described in the motivation letter". .......................................................................................................................... .......................................................................................................................... .......................................................................................................................... .......................................................................................................................... .......................................................................................................................... LIST OF APPLICATIONS Please list the institutions which will receive this application form (in order of preference): Indicate le istituzioni che chiedete in ordine di preferenza; l'ordine di preferenza deve essere LO STESSO in tutte le copie dell'application form che presentate; ricopiate con esattezza i nomi delle istituzioni dal nostro sito; nella colonna COUNTRY specificate il paese (Svezia, opp Austria, opp....) Institution Preferred professor Country Period of study from to Duration of stay (months) 1.............................. ....................... ......... ...... ...... .................. 2.............................. ....................... ......... ...... ...... .................. 3.............................. ....................... ......... ...... ...... .................. Please inform the other institutions immediately if you are admitted at an institution! AUDITION If the receiving institution requires you to send in a certified recording of your audition repertoire, please fill in the following: Il CD deve contenere almeno due brani di carattere contrastante, della durata di circa 15/20 minuti; per i direttori di orchestra/coro è richiesto un DVD con due prove di direzione; i compositori dovranno allegare due partiture di propri lavori e le eventuali registrazioni; indicare sulla domanda e sull'application form se è stato predisposto un CD o un DVD, se le registrazioni sono in formato audio o video e il tipo di formato; si suggerisce di indicare anche un indirizzo internet al quale reperire i files audio/video; il CD/DVD deve essere firmato dallo studente (con firma leggibile) e dal docente di strumento (per attestarne l'autenticità); nel caso di competenze non esecutive, il video è sostituito da un CD/DVD contenente esempi della propria attività musicale. LA REGISTRAZIONE E' LA PARTE PIU' IMPORTANTE PREPARATELA CON CALMA E ATTENZIONE!!! DELLA I have included a certified* recording of my audition repertoire Yes BARRATE YES No DOMANDA: ECTS - EUROPEAN CREDIT TRANSFER AND ACCUMULATION SYSTEM List of pieces performed on your recording: ELENCATE I BRANI COME SPIEGATO SOPRA...................................................... .......................................................................................................................... .......................................................................................................................... .......................................................................................................................... .......................................................................................................................... .......................................................................................................................... *Please let the teacher of your main subject sign the recording to certify that the recording is your own performance. FUNDING Have you already been studying abroad with an ERASMUS grant? Yes No SPECIFICATE SE AVETE GIA' REALIZZATO UN ERASMUS O NO Do you wish to apply for an Erasmus mobility grant to assist towards the additional costs of your study period abroad? Yes No SPECIFICATE SE CHIEDETE UNA BORSA DI STUDIO ERASMUS ECTS - EUROPEAN CREDIT TRANSFER AND ACCUMULATION SYSTEM SIGNATURES HOME INSTITUTION Student: non dimenticate di firmare!.................................................................... Date:................................................ Professor/Tutor: firma il docente della materia principale ..... Date:................................................ Head of Department: firma il referente del vostro corso............. Date:................................................ l'application deve essere consegnata completa delle tre firme sopra! International Coordinator:.......................................................................................................... Date:................................................ il referente Erasmus firma per ultimo, quando la domanda è completa ECTS - EUROPEAN CREDIT TRANSFER AND ACCUMULATION SYSTEM Notes for Guidance1 GENERAL INFORMATION All enquiries and applications for exchange programmes must be made through the International Coordinator in your home institution. To facilitate general procedures, please use e-mail until the point of mutual confirmation/signatures. Application form and deadline Please complete the form as fully and as clearly as possible. The International Coordinator will inform you about the application deadline for your preferred host institution(s). Other forms Some institutions may require extra documentation with your application; you may for example be asked to complete a second application form. COMPLETING THIS APPLICATION FORM Please write in BLOCK LETTERS – this will help the host institution to avoid mistakes when they process your form. You should complete each section. STUDY DETAILS Principal study subject Only state your principal study discipline, in which you wish to be auditioned. If you wish to audition for more then one discipline, you should complete a separate application for each one. Transcript including full details of previous and current higher education study This has to be issued by the home institution, not to be mistaken with the final ‘transcript of records’ which will be issued by the host institution at the end of the exchange period. LANGUAGE COMPETENCE You will normally be expected to have some proficiency in the language used for tuition in the host institution and you will gain most benefit from your exchange if you have some proficiency in the country’s native language. Please read also the ‘Explanatory note for the use of the standard ECTS-forms developed by AEC’. 1
