Опыт работы, связанный с обучением (если имеется)
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| Опыт работы .................................... .................................... | Фирма/организация ................................... ................................... | Дата ...................... ..................... | Страна ............................... ............................... |
Предшествующее и текущее обучение
| Диплом/степень, на которую обучаетесь в данный момент.................................................................................................................................................................................................................................................................. Количество лет обучения в высшем образовании до выезда за рубеж:............................................................................................................................ Были ли за границей? да o нетo Если да, то, где и в каком вузе? ........................................................................................................................................ Прилагается полный транскрипт с описанием всех деталей предшествующего и текущего обучения. Сведения, которые недоступны во время подачи заявки могут быть предоставлены позже. |
| Хотите ли вы подать на грант по мобильности, чтобы покрыть дополнительные затраты, связанные с обучением за рубежом? Да o Нет o |
| Принимающий вуз | |
| Мы признаем получение заявки, предложенной программы обучения и транскрипта. | |
| Указанный обучающийся o o Подпись координатора департамента ............................................................. Дата: ............................................................. | Принят на обучение в нашем вузе Не принят на обучение в нашем вузе Подпись координатора вуза ....................................................................... Дата: ....................................................................... |
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ECTS - EUROPEAN CREDIT TRANSFER SYSTEM
STUDENT APPLICATION FORM Photo
ACADEMIC YEAR 20../20..
FIELD OF STUDY: ........................................................................................................................
This application should be completed in BLACK in order to be easily copied and/or telefaxed.
| SENDING INSTITUTION Name and full address: ........................................................................................................................................ ........................................................................................................................................ Department coordinator - name, telephone and telefax numbers, e-mail box .............. ........................................................................................................................................ ........................................................................................................................................ Institutional coordinator - name, telephone and telefax numbers, e-mail box .................................... ........................................................................................................................................ ...................................................................................................................................... |
STUDENT’S PERSONAL DATA
(to be completed by the student applying)
| Family name: ............................................................. Date of birth: ............................................................. Sex: ............................................................. Nationality:.......................................... Place of Birth: ............................................... Current address: ............................................ ............................................................. ............................................................. ............................................................. Current address is valid until: ............ ………………………………………. Tel.: ............................................................. | First name (s): ................................................................. Permanent address (if different): ...................................................................... ....................................................................... ....................................................................... ....................................................................... ....................................................................... Tel.: ....................................................................... |
LIST OF INSTITUTIONS WHICH WILL RECEIVE THIS APPLICATION FORM (in order of preference):
| Institution | Country | Period of study from to | Duration of stay (months) | N° of expected ECTS credits | |
| 1................................ 2................................ 3................................ | ................. ................ ................. | .......... .......... .......... | ......... ......... ......... | ............... ............... ............... | ................................. ................................. ................................. |
| Name of student: ........................................................................................................................................ Sending institution:................................................................ Country: ....................................................................................................................................... |
| Briefly state the reasons why you wish to study abroad ? ........................................................................................................................................ ........................................................................................................................................ ........................................................................................................................................ |
LANGUAGE COMPETENCE
| Mother tongue: ................... Language of instruction at home institution (if different): ........................................................................................................................................ | ||||||
| Other languages | I am currently studying this language | I have sufficient knowledge to follow lectures | I would have sufficient knowledge to follow lectures if I had some extra preparation | |||
| yes | no | yes | no | yes | No | |
| ...................... ...................... ...................... | o o o | o o o | o o o | o o o | o o o | o o o |