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Erasmus > On-line submission

Zgłoszenie on-line Erasmus

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ERASMUS on-line application form: 2021/2022

A. Basic information about the student

Given name:

Surname:

Student’s record book no.:

Level of studies:

1-level (BSc) / 2-level (MSc)

Year of studies:

Fields of study

Have you participated in Erasmus (study periods) before?

Yes / No

Average grade (of all the grades of the whole study period)¹

Knowledge of foreign languages
(levels, grades)²

English

German

French

Language Certificates³

Yes / No

Student research groups

Yes / No

Does the student receive the social scholarship?

Yes / No

Does the student receive the scholarship for disabled people?

Yes / No

Student has already participated in Erasmus student mobility:

Yes / No

If the student has participated in Erasmus student mobility:

Mobility period 1

select the mobility type

Study period / Training period

select the mobility year

select the study level
of the previous mobility period

1-level (BSc) / 2-level (MSc)

Mobility period 2

select the mobility type

Study period / Training period

select the mobility year

select the study level
of the previous mobility period

1-level (BSc) / 2-level (MSc)

B. Selected partner universities
(3 universities shud be indicated, in the order of your preference)

University	Preferred semester
	spring autumn both
	spring autumn both
	spring autumn both

C. Notes

D. Contact

Email
Phone(s)

1. Official weighted average of the grades
2. Please give the grade of the language exam in “Notes” if applicable
3. Please list the names of language certificates in “Notes” if applicable

I agree to the processing of my personal data in accordance with the Regulation of the European Parliament and the Council on the protection of individuals with regard to the processing of personal data and on the free movement of such data (RODO).

I confirm that I am familiar with the attachment:
Information clause for the recruitment needs - Erasmus + program