Application for Erasmus+ internship scholarship
We are kindly asking to fill this form as part of your application for a scholarship.Thank you very much! Do not forget that this is not enough to fill the application online - Learning Agreement and other documents are also needed.
Internship type *
S = during studies; A = after graduation
Your faculty *
Last name *
like in your passport (in Latin letters)
Your answer
Name (s) *
like in your passort (in Latin letters)
Your answer
E-mail *
check the spelling! please provide e-mail you will be using abroad too
Your answer
Mobile phone *
use format 8XXXXXXX
Your answer
Study group *
f.e. MKDf11/2, phd students write 0
Your answer
Personal ID (optional)
Your answer
Date of birth *
MM
/
DD
/
YYYY
Gender *
m = masculine; f = female
Nationality *
as written in your passport, f.e. Lithuanian, Turkish
Your answer
Level of study *
B = bachelor, M = master, D = phd
Year of study *
Earlier Erasmus+ experience *
choose "S" if you had study exchange,"P" - if you had internship, "S, P" if you had both, "No" if you had no previous experience
Months you spent in Erasmus+ study and internship *
Include the current period if you are abroad now, write "0" if you have never been on Erasmus+
Your answer
Country of your internship *
f.e. Spain, Italy, UK...
Your answer
Hosting company's name *
Your answer
Company's website *
Your answer
Contact person's name and last name *
Your answer
Contact person's e-mail *
mind the spelling please
Your answer
Company's size *
S = small, M = medium, L = large
Your answer
Language you will carry internship in *
f.e. English, Turkish, etc.
Your answer
Workload per week *
How many hours will you work per week
Your answer
Internship start date *
MM
/
DD
/
YYYY
Internship end date *
MM
/
DD
/
YYYY
If you graduate this year, when do you plan to receive diploma
if you do not graduate, leave empty
MM
/
DD
/
YYYY
Special needs
Please mark if you need extra funding due to health related special needs (i.e. you will have extra expenditure to take care of your health when abroad)
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