/ TRANSILVANIAUNIVERSITY OF BRASOV
HIGHER EDUCATION
APPLICATION FORM FOR ERASMUS EXCHANGE STUDENTS
ACADEMIC YEAR 2016/2017
Student’s name /

A. APPLICATIONFORM FOR ERASMUS EXCHANGE STUDENTS – GENERAL INFORMATIONPhoto

PLEASE FILL IN CLEARLY – USE CAPITALS IF FILLED OTHER THAN ELECTRONICALLY

Type of ERASMUS mobility

Study

Practical placement

Sending institution:

Name, ERASMUS code and full address
Departmental coordinator / Name: / Fax:
Phone: / e-mail:
Institutional coordinator / Name: / Fax:
Phone: / e-mail:

Student’s personal data(to be completed by the student applying)

Familyname:
First name(s): / male female
Date of birth: dd/mm/yyyy /
Place of birth:
Country of birth: / Nationality:
Passport number: / Marital status: married single
Current address:(any correspondence, including the letter of acceptance will be sent to this address):
Street & number:
Postal code & city:
Country: / Permanent address (if different):
Street & number:
Postal code & city:
Country:
Phone no: / e-mail:

Previous education

Level of study:  Bachelor’s  Master’s  doctoral studies
For how many years have you been enrolled at home institution?
How many semesters have you completed prior to your departure abroad?
State briefly the reasons why you wish to study abroad.

Thefield of study you wish to be registered at TransilvaniaUniversity of Brasov()

Faculty: ...... of Chemical Engineeringof Civil Engineering and Architectureof Computer Science and Information Technologyof Electrical Engineeringof Maritime Technologyof Mechanical Engineering
StudyProgram:...... Faculty of Chemical Engineering chemical and process engineering environmental protection chemical technology commodity scienceFaculty of Civil Engineering and Architecture architecture and urban planning civil engineeringFaculty of Computer Science and Information Techno computer science management and engineering of productionFaculty of Electrical Engineering automation and robotics electrical engineering electronics and telecommunicationFaculty of Maritime Technology oceantechnology transportationFaculty of Mechanical Engineering mechanics and mechanical engineering materials science and engineering environmental engineering transportation

Period of the study/practical placement you wish to be registeredat TransilvaniaUniversity of Brasov

Autumn semester (03 October 2016 –19 February 2017)Spring semester (27 February 2017 – 09 July 2017)

Whole academic year (03 October 2016 – 09 July 2017) Other ......

I hereby I declare that all information provided in this application form and the enclosures is correct:

Date, place:
Student’s signature:
To be signed by the home university (sending institution)
Name of partner university:
Name of the signatory:
Title of the signatory: / Email of the signatory:
Date: / Signature:
Stamp
To be signed by the TRANSILVANIAUNIVERSITY OF BRASOV(receiving institution):
The above mentioned student is: accepted at my institution
not accepted at my institution
Title of the signatory / Erasmus Faculty/Department Coordinator / Erasmus Coordinator-incoming
Name of the signatory / Assoc.prof.dr. Laura-Teodora DAVID
Date: / Signature: / Signature:
Stamp

PLEASE RETURN THIS APPLICATION WITH THE ENCLOSURES:

2 copies of the proposedLearning Agreement(for study)/ Training Agreement (for practical placement);

 Transcript of Record: an official list of courses you have attended so far at the home university;

 English Language Requirement Form for Exchange Students – see below page 3;

Accommodation form (if accommodation is required at one of the university dormitory)– see below page 4;

1 copy of your passport/ID card;

3 photos of 35mm x 45 mm.

to the following address:

UNIVERSITATEA TRANSILVANIA DIN BRASOV

Erasmus+ Office

29 Eroilor str., room 205, 500036, Brasov, ROMANIA

Tel./Fax +40 268 473473

PLEASE NOTE:

  • onlyoriginal Application forms will be processed
  • Application form may be also sent electronically (), but the paper version has to follow as soon as possible.

B. ENGLISH LANGUAGE REQUIREMENT FORM FOR EXCHANGE STUDENTS

A good standard of English is required to become an ERASMUS student at the Transilvania University of Brasov because teaching involves student participation at courses, laboratory courses, projects and presentations. Student should have a command of English equivalent minimum to the pass grade at B1 level (cf. European Framework of Languages). We ask you and your home university to document your English skills through this language requirement form.

To follow our courses, your English skills must be at a minimum level B1. You have to:
  • understand general and academic topics presented in English orally and in writing
  • know a varied vocabulary which enables you to participate in conversations and discussions in English
  • be able to comprehend contents and viewpoints presented in different types of English texts
  • express your opinion in English both orally and in writing
  • be able to present a known topic coherently and with details in fluent and mostly correct English

To be signed by the student
I hereby confirm that:
 I have the above described English skills (min. level B1)
 I do NOT have the above described English skills
Name of student
Date / Signature
To be signed by the home university
Name of partner university
We hereby confirm that our student
 has the above described English skills (min. level B1)
 does NOT have the above described English skills
Name of the signatory
Title of the signatory
Email of the signatory
Date / Signature and Stamp

C. ACCOMMODATION FORM

NAME AND SURNAME of the student
Home university
Sex (M/ F) /  M  F
Post address
e-mail address
Phone number
BOOKING PERIOD
  1. Academic year 2016/2017

Arrival date / dd/ mm / yyyy / (no sooner than September 29, 2016)
Departure date / dd/ mm/yyyy / (no later than July 11, 2017)
  1. Academic year 2016/2017– first semester

Arrival date / dd/ mm / yyyy / (no sooner than September 29, 2016)
Departure date / dd/ mm/yyyy / (no later than February 21, 2017)
  1. Academic year 2016/2017– second semester

Arrival date / dd/ mm / yyyy / (no sooner than February 24, 2017)
Departure date / dd/ mm/yyyy / (no later than July 11, 2017)

Place and date:Signature:

Notes:

  • If you have a disability that requires special accommodation, please advice us immediately and we will assist you in working with the host institution to determine how such accommodation can be arranged.
  • We do not offer single rooms.
  • You are requested to respect the deadlines; Transilvania University of Brasov cannot guarantee accommodation for candidates applying after the deadlines.
  • No pets are allowed in any area of the dormitory.

If you wish to be accommodated in one of our students’ dormitory, please return this form along with your application to:

UNIVERSITATEA TRANSILVANIA DIN BRASOV

Erasmus+ Office

29 Eroilor str., room 205, 500036, Brasov, ROMANIA

,

Tel./Fax +40 268 473473

Please do not modify the forms, just fill in the requested information!

For information concerning the content of your learning agreement / training agreement/ study programplease directly contact the respectivefaculty/department Coordinator ().

Faculty / Faculty coordinator / e-mail address
Mechanical Engineering / Assoc. Prof. Dr. Eng. Daniela ŞOVA /
Technological Engineering and Industrial Management / Assoc. Prof.Dr. Eng Luminiţa PÂRV /
Lecturer Eng. Dr. Eng. Alexandru Cătălin FILIP /
Product Design and Environment / Prof. Dr. Eng. Anca BÂRSAN (Product Design) /
Lecturer. Dr. Cristina BOGATU (Environmental Engineering) /
Assoc. Prof.Dr. Eng. Daniela BARBU (Mechatronics) /
Materials Science and Engineering / Assoc. Prof. Dr. Eng. Dana LUCA-MOTOC /
Electrical Engineering and Computer Science / Assoc. Prof. Dr. Eng. Petru COTFAS (Electronics and Computer Science) /
Lecturer Dr. Eng. Carmen LUNGOCI(Electrical Engineering and Physics) /
Assoc. Prof.Dr. Eng Laura FLOROIAN (Automation and Information Technology) /
Silviculture and Forest Engineering / Assoc. Prof.Dr. Eng. Rudolf Alexandru DERCZENI /
Wood Engineering / Lecturer Dr. Eng. Emilia SALCĂ /
Civil Engineering / Lecturer Dr.Eng. Radu MUNTEAN /
Food and Tourism / Assoc. Prof.Dr. Eng. Ioana COMĂNESCU /
Mathematics and Computer Science / Assoc. Prof.Dr. Livia SÂNGEORZAN /
Economic Sciences and Business Administration / Assoc. Prof.Dr.Nicolae MARINESCU /
Letters / Lecturer Dr. Mihaela POPESCU (Languages) /
Law / Lecturer Dr. Roxana MATEFI /
Sociology and Communication / Assoc. Prof.Dr. Codrina ŞANDRU /
Medicine / Lecturer Dr. Lorena DIMA (Medicine) /
Assist. Prof. Dr. Nicuşor BÎGIU (Nursing) /
Lecturer Dr. Petrişor IFTENI (Physical – kinetic – therapy) /
Psychology and Education Sciences / Lecturer Dr. Daniela NECSOI (Educational Sciences)
Lecturer dr. Ecaterina UNIANU (Psychology) /

Physical Education and Mountain Sports / Assist. Prof. drd. Sorin DRUGĂU /
Music / Assoc. Prof. Dr. Alina Maria NAUNCEF /

Please do not print this page when applying!

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For details please contact the faculty/department ERASMUS coordinator, listed at page 5

Application deadline:

for autumn semester:15 July

for spring semester: 15 January

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