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State University of Applied Sciences in Elblag ERASMUS+ APPLICATION FORM
IMPORTANT REMARKS
If you are going on an Erasmus period for studies or for traineeships in the State University of Applied Sciences in Elblag, you should fill this form.

Applicants for the1st Semester or the whole academic year: until May 31st
Applicants for the 2nd Semester: until November 30 th

After filling in each page you should print it out before submit and ask your Erasmus Office to sign, stamp and send it by e-mail to bpwz@pwsz.elblag.pl
Don't forget to send the Learning Agreement before arriving and all required documents to the following e-mail: bpwz@pwsz.elblag.pl

Surname(s) *
Your answer
First name(s) *
Your answer
Gender
Date of Birth
MM
/
DD
/
YYYY
Nationality
Your answer
Home address (postal)
Your answer
City/Town
Your answer
Passport or ID number
Your answer
Country
Your answer
Post Code
Your answer
Phone
Your answer
E-mail
Your answer
Home university
Your answer
Home Faculty/Department
Your answer
Course of studies (for example: Bachelor in Economics)
Your answer
I apply for admission for semester:
Mother tongue
Your answer
Other languages
A1
A2
B1
B2
C1
C2
Polish
English
I would like to book place in the Students Hostel (https://study.pwsz.elblag.pl/accommodation)
date of arrival
MM
/
DD
/
YYYY
date of departure
MM
/
DD
/
YYYY
I have read and answered all of the questions in a whole and true manner. If admitted to the State University of Applied Sciences In Elblag, I agree to follow its rules and regulations, as well as those of the Faculty I will attend.

Student’s signature_____________________________________________ Date____________________________

We declarate that this student fully understands the contensts of this application form and is able to participate in the Erasmus+ Programme between both institutions.

Name and position of the authorized person: _____________________________________________________

Student’s signature_____________________________________________ Date____________________________

Don't forget to send the Learning Agreement before arriving and all required documents to the following e-mail: bpwz@pwsz.elblag.pl
LIST OF REQUIRED DOCUMENTS

* Learning Agreement
* Scanned transcript of records of the previous semesters
* 1 photo (jpeg format);
* Personal data sheet (CV) -optionally

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