Fillable INTERNATIONAL STUDENTS IN EXCHANGE Last name(s) Fist name

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INTERNATIONAL STUDENTS IN EXCHANGE Last name(s) Fist name

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Country of origin: FRANCE
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Student / Étudiant-e:
Last name(s)
Nom
Fist name (s)
Prénom
Date of birth
Date de naissance
Nationality
Nationalité
Gender
Sexe
Current level of studies
Niveau actuel d'études
Phone
Téléphone
Field of studies
Domaine d’études
E-mail
courriel
STUDY PROGRAM AT THE RECEIVING INSTITUTION
Programme d’études dans l’établissement d’accueil
You must choose a minimum of 2 courses in one host faculty except if your host faculty is LE or LLASIC in this case you may choose 51% in this faculty
Vous devez choisir un minimum de 2 cours dans une composante de rattachement sauf si votre faculté est LE ou LLASIC dans ce cas choisissez 51 % des cours dans cette faculté
Click here for Instructions to choose your courses / Cliquez ici pour voir les consignes pour choisir vos cours
DEPARTMENT OFFERING THE COURSE
Structure proposant le cours
Attention: The Faculty of Medicine only accepts students through
their specific agreements/Faculté de Médecine accepte uniquement
les étudiants via leurs accords spécifiques.
COURSE REQUEST LIST
Liste de cours
Click here to see Catalog of Cours / Catalogue de cours
APOGEE CODE
If indicated on the catalogue
Code Apogee
si indiqué dans le catalogue
SEMESTER
Semestre
CREDITS NUMBER
ECTS
Your choice of courses may change subject to availability of places, compatibility of schedule and exams. Votre choix des
cours peut changer sous réserve de disponibilité des places, des compatibilités des emplois du temps et examens.
Download here the list of the International Offices of each UGA faculty /Téléchargez ici la liste des bureaux internationaux de chaque faculté UGA
Total :
Level of language competence of the student to take courses in the language taught / Niveau de compétence linguistique de l'étudiant pour suivre des cours dans la langue enseignée:
French / Français
.............................................................................
A1
A2 B1 B2 C1 C2 Native speaker / Langue maternelle
English / Anglais Other /Autre :
A1 A2 B1 B2 C1 C2 Native speaker / Langue maternelle
LEARNING AGREEMENT / CONTRAT D'ETUDES
INTERNATIONAL STUDENTS IN EXCHANGE
2020 / 2021
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Host Faculty at UGA / Composante à l’UGA
We remind you that you have to attend the majority of your courses in your host faculty
Nous vous rappelons que vous devez suivre la majorité de vos cours dans votre composante de rattachement
Faculty at UGA
Composante à l’UGA
Planned period of the mobility/Période de mobilité prévue :
Be careful to choose the correct period of mobility / Attention de choisir la bonne période de mobilité
Sending University / Université d’envoi
Name of University
Nom de l’université
Faculty, department
Faculté, département
Address
Adresse
STUDY PROGRAM AT THE AT THE SENDING INSTITUTION (Recognition at the sending Institution)
PROGRAMME D'ÉTUDE À L'ÉTABLISSEMENT D'ENVOI (Reconnaissance dans l'établissement d'origine)
FACULTY/DEPARTEMENT
Composante
COURSES REQUEST
Liste de cours
SEMESTER
Semestre
CREDITS
NUMBER
ECTS
MANDATORY SIGNATURES AT TIME OF APPLICATION
SIGNATURES OBLIGATOIRES AU MOMENT DE LA CANDIDATURE
Stude
nt
Étudiant
Name
Nom
Email
Courriel
Position
Fonction
Date Signature
Student
Étudiant
Person in charge at the
sending Institution
Personne responsable dans
l’établissement d’envoi
Academic coordinator
or administrator at
UGA
Responsable ou
coordinateur
à UGA
Name
Nom
Email
Courriel
Position
Fonction
Date Signature
Université Grenoble Alpes -
N° SIRET 130 021 397 000 18
www.univ-grenoble-alpes.fr
--Select the host faculty at UGA/Composante de rattachement a l'UGA--
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INTERNATIONAL STUDENTS IN EXCHANGE Last name(s) Fist name

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Completed 25 October 2020

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