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Student Application Form

This document is a student application form for an academic year abroad. It requests information such as the student's personal details, field of study, language proficiency, work experience, and academic history. If accepted, the form will be signed by coordinators at both the sending and receiving institutions. It collects essential information needed to apply for and facilitate a student's academic visit to another university.

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Marius Bortă
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72 views2 pages

Student Application Form

This document is a student application form for an academic year abroad. It requests information such as the student's personal details, field of study, language proficiency, work experience, and academic history. If accepted, the form will be signed by coordinators at both the sending and receiving institutions. It collects essential information needed to apply for and facilitate a student's academic visit to another university.

Uploaded by

Marius Bortă
Copyright
© © All Rights Reserved
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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STUDENT APPLICATION FORM

ACADEMIC YEAR: ………………………. (Photograph)

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:

Departmental 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: ……………………………………. First name(s): …………………………….……..


…………………………………….
Date of birth:
………. Nationality: ………………….
Sex:
…………………………………...
Place of birth:
Current address
………………………………. Email address: ..…………….
& telephone no.:
………………………………………………………. ………………………………………………………..
………………………………………………………. ………………………………………………………..
………………………………………………………. ………………………………………………………..

THE INSTITUTION WHICH WILL RECEIVE THIS APPLICATION FORM


No. of
Duration
expected
Institution Country Period of study of stay
ECTS
(months)
credits
from to

LANGUAGE COMPETENCE
Mother tongue: …….…………… Language of instruction at home institution (if different): ……..………………..
I would have sufficient knowledge
I am currently studying I have sufficient knowledge
Other languages to follow lectures if I had some
this language to follow lectures
extra preparation
Yes No Yes No Yes No
…………………...      
…………………...      
…………………...      

WORK EXPERIENCE RELATED TO CURRENT STUDY (If relevant)


Type of work experience Firm / organization Dates Country

……………………………… ……………………………… …………………. …………………...


……………………………… ……………………………… …………………. …………………...

PREVIOUS AND CURRENT STUDY

Diploma/degree for which you are currently studying: BA …………MA ……………PhD………….

Number of higher education study years prior to departure abroad: ………………………………………


Have you already been studying abroad? Yes  No 
If yes, when? At which institution? ……………………………………………………………………………..

The attached Transcript of records includes full details of previous and current higher education study.
Details non known at the time of application will be provided at a later stage.

RECEIVING INSTITUTION

We hereby acknowledge receipt of the application, the proposed learning agreement and the candidate’s
Transcript of records.

The above mentioned student is  provisionally accepted at our institution


 not accepted at our institution

Departmental coordinator’s signature Institutional coordinator’s signature

………………………………………………. …………………………………………………….
Date: ……………………………………. Date: ………………………………………….

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