Erasmus APPLICATION FORM for incoming students

Before completing the form, Applicant has to be sure that the courses of the chosen study field are available at the Faculty. (List of courses:

The completed form should be sent to the Faculty as soon as the incoming student’s application can be considered as successful in the sending institution: e-mail address: ; fax number: 00 36 1487-8196.(General deadlines: end of Mayfor Semester Ior end of Novemberfor Semester II)

Academic year / 20…/20….. / Semester (see information here:
/ Semester I
Semester II
Sending Institution / Receiving Institution
Name / EÖTVÖS LORÁND UNIVERSITY
Erasmus Code / HU_BUDAPES01
Faculty/unit: / Faculty of Primary and Pre-School Teacher Training
Webpage /
Administrative coordinator / Name: ………………………
Department:
Tel:
Fax:
e-mail: / Name:Ms Andrea Seres
Department: International Relations Office
Tel: +36 1-487-8111 (with answerphone)
Fax: +36 1-487-8196
e-mail:
Academic /departmental/ coordinator / Name:………………………
Department: ……………..
Tel:
Fax:
e-mail: / Name:………………………
Department:………………………
Tel:+36 1-487-81……… (with answerphone)
Fax: +36 1-487-8196
e-mail:……………………………..
Field of study: / Education, teachers training / Erasmus subject area code: / 05.00

Please indicate student’s specialization:

 / Fields of specialization
ELEMENTARY SCHOOL TEACHERS TRAINING /6-12 years/
NURSERY SCHOOL TEACHERS TRAINING /3-6 years/
INFANT AND EARLY CHILDHOOD EDUCATION /0-3 years/
Additional academic requests (e.g. subject specialization, school practice ect.) ……………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………

Student’s data:

First name: / Last name: /  male /  female
Address for correspondence (home country):
Place of birth: / Date of birth:
Mother’s full maiden name: / Citizenship:
Passport or identification number: / e-mail address:
Phone number: / Mobile phone number:
What sort of diploma does the student get in the sending institution?
How many study years are completed before starting Erasmus studies?
Level of education: / B.A / M.A. / D
Participation in Hungarian language courseatEötvös Loránd University:
for detailed information see the webpage: /  yes /  no
Language competences:
Language 1: ______/ level of language competence: /  intermediate / advanced
Language 2: ______/ level of language competence: /  intermediate / advanced
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Language/s/ of studies at Eötvös Loránd University:
Request a student mentor in the host University? /  yes /  no

If yes, the e-mail address of the student will be given to the coordinator of mentors.

Planned date of arrival:
Number of Erasmus months /min. 3 - max. 5/:

Necessary attachment: The specification of the courses of the planned studies has to be indicated in the Erasmus Learning Agreement form. Erasmus studies can not be started without the confirmation of the receiving faculty or academic unit.

Date: …….../day/……./month/……./year
Student’s signature

*

I hereby confirm that the above mentioned student has been officially nominated for the student exchange under the Life Long Learning / Erasmus Programme for the indicated academic year and semester.

Student’s obligatory staying period in the receiving institution: from …../day/……./month/……./year to …../day/……./month/……./year.

Date: ……..../day/…….…./month/…….…./year
Erasmus co-ordinator’s signature

After receiving the completed application form, the receiving Faculty issues the official confirmation of the student’s acceptance.

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