APPLICATION FOR ADMISSION TO UPPER SECONDARY EDUCATION FOR SPEAKERS OF MINORITY LANGUAGES RECENTLY ARRIVED IN NORWAY

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1 5 APPLICATION FOR ADMISSION TO UPPER SECONDARY EDUCATION FOR SPEAKERS OF MINORITY LANGUAGES RECENTLY ARRIVED IN NORWAY About this form - This is an application form for admission to upper secondary education for speakers of minority languages recently arrived in Norway (regulations in Education Act 6-8) - Please notice that this application form requires further attachments: Copy of elementary school leaving certificate Copy of temporary or permanent residence permit Copy of pages in passport that confirm the identity of applicant School/counselor/other authority fills out form in cooperation with applicant. - Send application form and attachments to: Vestfold fylkeskommune, Seksjon for inntak og fagopplæring, Pb. 2163, 3103 Tønsberg - Applicants using a Norwegian national identity number can also apply at by using MinID. In such cases, applicants to the one-year program at Thor Heyerdahl vgs. should choose AOLOV0J--- as their program code. Note that using electronic application in vigo.no also requires forwarding attachments in order to have the application proceeded. - For one-year programs (introduction course) at Horten vgs., Greveskogen vgs. and Sandefjord vgs., ordinary program codes are to be used 1. Personal details, applicant Surname, firstname(s) Address Date of birth/norwegian identity number (11 numbers) Telephone, representative (optional) Postcode Citizenship Gender Arrival date in Norway (year and month): Telephone, applicant , applicant City/place First language Application for admission to secondary education Page 1 of 5

2 2. Educational background Primary school/elementary school/lower secondary Place/city Number of Final year years Validation of competence (please tick box) A formal validation of competence is conducted on behalf of applicant, and an individual legal decision ( enkeltvedtak ) confirms that the applicant s school knowledge is equivalent to the Norwegian elementary adult education program (Educational Act 4A-1 regulations I Educational Act 4-33) Upper secondary education/higher education Place/city Number of years Final year Level of qualification å skrive inn 3. Applying instance /authority Name of applying instance/authority Name of contact Has applicant previously attended the oneyear program ( innføringstilbud )? Telephone, contact , contact YES NO Number of years:

3 4. Preferred education Application to attend one-year program for speakers of minority languages ( innføringstilbud ) (please tick box to choose preferred school ) Horten Greveskogen Sandefjord Thor Heyerdahl Application to attend an ordinary education program in Norwegian Education program/course Preferred school(s) Former tuition in Norwegian Which curriculum has applicant followed? (tick box) Curriculum for basic Norwegian for language minorities Curriculum for ordinary Norwegian with adaptions Please describe applicant s overall language skills, in addition to level of language skills 6. Possible need for special education (tick box if relevant) A formal resolution, that confirms that applicant current year has a right to and is attending, special education, is complied. Please enclose expert appraisal, individual legal decision, individual education plan (IEP) and annual evaluation Applicant requests an evaluation of the educational training, and a discussion of special education, after adaptive measures within ordinary education are tried out. (Opp.lov 5-4)

4 7. Educational report (brief summary here, please enclose full report) A. Brief description of applicant s main challenges and/or disabilities B. Description of applicant s academic functioning (level of achievement, successful learning methods etc) C. Description of applicant s social functioning (behavior, physical and mental health) D. Description of the special education given (extent of contents, hours and organization), if relevant E. Goal for final qualification (qualification for higher education, vocational qualifications or basic vocational skills) F. Description of applicant s qualifications and possibilities to succeed in first selected educational program 8. Attachments (please tic box) Attachments Paper VFK 360 Valid permanent or temporary residence permit, and copy of passport pages to confirm the identity of applicant Elementary school-leaving certificate (translated into English, preferable) Print of web application (vigo.no, if relevant) Educational report (if relevant) Resolution note on the need of special education, expert assessment, individual education plan (IEP) and student evaluation Other relevant information: Number of attachment (optional) 9. Consent and signatures (please tic box)

5 Consent is voluntary, and can be withdrawn at any point I consent to letting the experts giving an opinion in the matter of this application, notwithstanding the confidentiality, provide necessary information for further proceeding of this application I give consent to the information accompanying this application may be disclosed to the educational psychological services (PPT) for secondary education, and to the first selected school, or the school in which I will be accepted I give consent to the educational psychological services (PPT) for upper secondary education to make necessary expert assessments in connection with facilitating for my education Place, date Signature (applicant) Signature, representative (if applicant is under 15 years of age) 10. Signature, application Place, date Signature, applicant Signature, representative (if applicant is under 15 years of age) Signature, contact person