Application for a student exchange abroad

Personal information

First and last name*

First name Last name

Date of birth*

Nationality*

Address*

Street address City Postal code Country

Phone number*

School email address*

Information of next of kin

Name of next of kin*

First name Last name

Address of next of kin*

Street address City Postal code

Phone number of next of kin*

Vocational information

Vocational qualification*

(chef, waiter, etc.)

Group code*

Study unit or part of study carried out while studying abroad*

(discuss with your tutor/teacher)

Group supervisor*

Work based learning / exchange info

Preferred target countries??

1. choice*

2. choice

3. choice

Wished exchange period*

(period number)

Requested duration abroad*

(number of weeks)

Do you wish to go alone or together with somebody?*

alone
with someone (name them)

Name of fellow traveller*

First name Last name

Your studies have proceeded as planned*

yes
no

Other information

Why do you wish to go abroad?*

Motivation; why we should specifically choose you for the student exchange mobility?*

(attitude, expectations, language skills, study success, health condition)

Tell about your previous working experiences*

(e.g. during your traineeship or summer work.)

Finishing the application

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Phone

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