Application Form for Foreign Students

/ Ministry of Education
Federal University of Technology – Paraná
International Affairs Office / UNIVERSIDADE TECNOLÓGICA FEDERAL DO PARANÁ

APPLICATION FORM FOR FOREIGN STUDENTS

Use block letters to fill in this Application Form.

Full Name:
Institution name:
Area of Study:
□ Undergraduate □ Master □ Doctorate
Academic year and semester:
Duration of stay:

HOME INSTITUTION

Address:
Phone: / Fax:
Departmental Coordinator / Institutional Coordinator
Name: / Name:
Phone: / Phone:
E-mail: / E-mail:

PERSONAL INFORMATION

Birth date: / Birth place:
Nationality: / Gender: / Marital status:
Mailing Address (City, state, country, zip code):
Phone number: ( ) / E-mail:

LANGUAGE PROFICIENCY

Indicate your language ability: 1- Fluent; 2 - Good; 3 - Poor; 4 - None

Language / Understand / Speak / Read / Write
Portuguese
English
French
German
Other:

PROPOSED STUDY PROGRAMME AT UTFPR / LEARNING AGREEMENT

Course unit code / Course unit title / Major area at UTFPR

(If necessary, continue the list on a separate sheet.)

Student’s signature
...... Date ......
SENDING INSTITUTION
We confirm that the proposed programme of study/learning agreement is approved.
Departmental coordinator’s Signature Institutional coordinator’s signature
......
Date: ...... Date: ......
RECEIVING INSTITUTION
We confirm that this proposed programme of study/learning agreement is approved.
Departmental coordinator’s Signature Institutional coordinator’s signature
......
Date: ...... Date: ......

CHANGES TO PROPOSED STUDY PROGRAMME AT UTFPR / LEARNING AGREEMENT

(To be filled in ONLY if appropriate)

Course unit code / Course unit title / Major area at UTFPR

(If necessary, continue the list on a separate sheet.)

Student’s signature
...... Date ......
SENDING INSTITUTION
We confirm that the proposed programme of study/learning agreement is approved.
Departmental coordinator’s Signature Institutional coordinator’s signature
......
Date: ...... Date: ......
RECEIVING INSTITUTION
We confirm that this proposed programme of study/learning agreement is approved.
Departmental coordinator’s Signature Institutional coordinator’s signature
......
Date: ...... Date: ......

IMPORTANT:

Are you coming from a partner institution?

□ Yes □ No

If YES:

The candidate must attach to this Application Form:

- A recent colored passport picture;

- A copy of his/her valid passport;

- Proof of being presently enrolled at the home university;

- Curriculum Vitae;

- A copy of his/her complete university record / report;

- A one page Motivation Letter written by the candidate detailing his/her qualifications and the reasons for coming to UTFPR.

* An electronic copy of the above documents and Application Form must be sent to:

If NO:

The candidate must attach to this Application Form:

- A recent colored passport picture;

- A copy of his/her valid passport;

- Proof of being presently enrolled at the home university;

- Curriculum Vitae;

- A copy of his/her complete university record / report;

- A one page Motivation Letter written by the candidate detailing his/her qualifications and the reasons for coming to UTFPR.

* The original Application Form and documents must be sent to:

UTFPR - DIRINTER

Rua Desembargador Westphalen, 637 _ Bloco J1

80010-110 Curitiba _ PR

Brasil