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Móttekið:

APPLICATION FORM FOR ADMISSION AS AN EXCHANGE STUDENT AT THE

UNIVERSITY OF AKUREYRI
DURING THE ACADEMIC YEAR 2010/2011
To be filled in by the student

I apply for the:  Academic year 2010/11  Autumn semester 2010  Spring semester 2011

Please specify study period: From.......................................... Until.....................................................................

Official name of home University:..............................................................................................................................

......................................................................................................................................................................................
Department City Country

1. Personal information

Family name:......................................................................................................  Male  Female

Given name(s):....................................................................................................

Date of birth:.................................................................Place of birth:........................................................................

(day/month/year)
Citizenship:...................................................................................................................................................................

Permanent address in home country Mailing address prior to departure

Street Street

City (incl. postal code) City (incl. postal code)

Phone (incl. country and area code) Phone (incl. country and area code)

Fax Fax

E-mail Above address valid until:

For official use Exchange number: Faculty:

Coordinators code: Application number: Department:
Name and phone number of a person to be contacted in case of an emergency:.........................................................

......................................................................................................................................................................................

Relationship to you:......................................................................................................................................................

2. Academic background

Area of study at home university:.................................................................................................................................

Since:....................................................................................Expected date of graduation:..........................................

Years of full time academic study completed on arrival at University of Akureyri:....................................................

Field of specialization:..................................................................................................................................................

......................................................................................................................................................................................

......................................................................................................................................................................................

......................................................................................................................................................................................

3. Proposed study plan at University of Akureyri

List the courses to which you are applying. For information, please consult our website ww.unak.is/english
where you find course description in English under Education.

To help European exchange program co-ordinators assess the value of the courses. University of Akureyri uses
the ECTS credits system. The European Credit Transfer System was developed by the European Union
Commission in order to provide common procedures to guarantee academic recognition of studies abroad.

Please note that you must fulfil the specified prerequisites stated for each course in order to be admitted. To be
able to follow a course, a good command of the language in which the course is taught, is necessary.

Autumn semester 2010

Department Code and name of the course ECTS credits

.................................................... ............................................................................ .................................................

.................................................... ............................................................................ .................................................

.................................................... ............................................................................ .................................................

.................................................... ............................................................................ .................................................

State alternative courses (in order of preference)
.................................................... ............................................................................ .................................................

.................................................... ............................................................................ .................................................

.................................................... ............................................................................ .................................................

Spring semester 2011

Department Code and name of the course ECTS credits

.................................................... ............................................................................ .................................................

.................................................... ............................................................................ .................................................

.................................................... ............................................................................ .................................................

.................................................... ............................................................................ .................................................

State alternative courses (in order of preference)
.................................................... ............................................................................ .................................................

.................................................... ............................................................................ .................................................

.................................................... ............................................................................ .................................................

4. Language proficiency

Primary language:.........................................................................................................................................................

Language of instruction at home institution (if different):...........................................................................................

Have you passed the TOEFL test or any other internationally recognized proficiency test in English?

 No  Yes If yes, state the test and your result:................................................................................................

Do you have prior knowledge of Icelandic?

 No  Yes If yes, how did you acquire it?.........................................................................................................

......................................................................................................................................................................................

Specify proficiency in each language below (none, poor, fair, good), if not your primary language:

Oral understanding Reading Speaking Writing

Icelandic
English

5. Additional information

Have you had any kind of contact with the faculty(ies)/department(s) at University of Akureyri? Please check
with your home co-ordinator whether you should make contact yourself or not.

 none  letter  E-mail  visit  telephone

Other: ...........................................................................................................................................................................

Name(s) of the faculty(ies)/department(s):.................................................................................................................

Name of contact person(s):...........................................................................................................................................

How will you finance your stay in Iceland?:................................................................................................................

6. Accommodation & practical matters

Housing for students in Akureyri is always in great demand. As an exchange student you can apply for
accommodation in a student residence through the Student Housing Office (www.festaha.is). Please send the
Student Housing application to the International Office along with your exchange application and notice
that there are limited number of rooms available there. Exchange students are also offered housing in local
guesthouses. Finding accommodation in Akureyri on your own is very difficult. Please consult the Manager of
International Relations for help in this matter. If you decide to arrange private accommodation, please state this
address below:

......................................................................................................................................................................................

......................................................................................................................Phone:.....................................................
If you wish to take a Icelandic Language program, please contact the Manager of International Relations.

Other practical information such as traveling to Akureyri, Student Service, Housing and other things can
be found at http://english.unak.is/ under Prospective students

7. Student’s signature

I herewith declare that I have completed this form in good faith:

…..................................................................................................................................................................................
Name Date

8. Signature on behalf of the home institution

I hereby certify that this student has been selected by his/her home university to participate in the exchange
program with University of Akureyri:

......................................................................................................................................................................................
Name of exchange program (also state Erasmus code if applicable)

......................................................................................................................................................................................
University representative, title Date

............................................................................................
Signature Stamp

Please note! In order that your application can be processed, the following documents must be included herewith:

A Statement of purpose / motivation B Transcript of academic records

This application form must be received no later than May 15th for the fall semester
and November 1st for the spring semester by the
University of Akureyri, International Office, Solborg, 600 Akureyri, Iceland
Fax int. +354-460-8999 Phone int. +354-460-8035
Should you require an extension on your application,
please don’t hesitate to contact the Manager of International Relations.