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STUDENT APPLICATION FORM Academic Year . / .: Incoming Students Form I

This document contains an application form for incoming Erasmus students at the University of Bielsko-Biała in Poland. The form collects personal information about applicants such as name, date of birth, nationality, home institution, language skills, and intended period of study. It also asks students to declare that the information provided is accurate and that they will have health insurance for the duration of their time abroad. The home institution coordinator must also sign to confirm the student is approved to apply for Erasmus funding.

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Raymond Killuminati Jel
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25 views3 pages

STUDENT APPLICATION FORM Academic Year . / .: Incoming Students Form I

This document contains an application form for incoming Erasmus students at the University of Bielsko-Biała in Poland. The form collects personal information about applicants such as name, date of birth, nationality, home institution, language skills, and intended period of study. It also asks students to declare that the information provided is accurate and that they will have health insurance for the duration of their time abroad. The home institution coordinator must also sign to confirm the student is approved to apply for Erasmus funding.

Uploaded by

Raymond Killuminati Jel
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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International Relations Office

address: ul. Willowa 2, 43-309 Bielsko-Biaa, Poland tel./ fax: +48 33 82 79 447, tel. +48 33 82 79 434, +48 33 82 e-mail: [email protected]

79 356

LLP-Erasmus Student Mobility Study SMS

INCOMING STUDENTS STUDENT APPLICATION FORM academic year . / . FORM I

STUDENTS PERSONAL DATA


Surname First name Date of birth Place of birth Nationality Sex

PHOTO

Number of Identity Card E-mail Phone Current address A person to be notified in case of emergency (name, phone, e-mail)

HOME INSTITUTION
Name of university Address Institutional Coordinator (name, e-mail, phone) Departmental Coordinator (name, e-mail, phone)

UNIVERSITY OF BIELSKO-BIALA INTERNATIONAL STUDIES STUDENT APPLICATION FORM I

STUDENTS ACADEMIC BACKGROUND


Faculty/Department Area/Field of study Degree for which you are currently studying Expected date of graduation Number of study years completed prior to departure abroad

LANGUAGE COMPETENCE
LANGUAGE English Other (which?): Very good Good Basic Currently studying

HOST INSTITUTION
Name of host institution Faculty/Department Planned period of study abroad (from till/ number of months) from ................................ till .................................., that is ................. months University of Bielsko-Biala, Poland

Briefly state the reasons why you wish to study abroad Request for registration for Polish Language Course during semester (if possible) Yes No

THE STUDENT I hereby declare that information provided by me in this Application form is true. I also declare that I will have complete health insurance for travel time and whole period of study abroad.

Students signature Date, place THE HOME INSTITUTIONS REPRESENTATIVE\ I hereby declare that the above-mentioned student has been recruited by our University and is allowed to apply for studys abroad LLPErasmus grant.

UNIVERSITY OF BIELSKO-BIALA INTERNATIONAL STUDIES STUDENT APPLICATION FORM I

Coordinators signature

Date, place

Institutional/ Departmental stamp

UNIVERSITY OF BIELSKO-BIALA INTERNATIONAL STUDIES STUDENT APPLICATION FORM I

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