PRIJAVA ZA STIPENDIJU
FILOZOFSKOG FAKULTETA
MASARYKOVOG SVEUČILIŠTA
BRNO, ČEŠKA
http://www.phil.muni.cz/wff
DOSTAVITI U URUDŽBENI URED
(URED ZA MEĐUNARODNU SURADNJU)
ROK ZA PRIJAVU 08. 12. 2010.
APPLICATION FORM
OUTGOING STUDENTS
Academic year 2010/2011
Exchange programme: Faculty of Arts Masaryk University
Family name: ______
First name: ______
Date of birth (DD/MM/YY): ______
Male: _____ Female: _____
City and country of birth: ______
Citizenship(s): ______Passport number: ______
E-mail: ______
Current Address
City: ______
Address: ______
Country: ______ZIP code: ______
Phone number (include country code): ______
Permanent Address (if different)
City: ______
Address: ______
Country: ______ZIP code: ______
Phone number (include country code): ______
Person to be contacted in case of emergency
Name: ______Relation : ______
Phone number (include country code): ______
ACADEMIC BACKGROUND (mark with X)
Undergraduate Programme ______
Graduate Programme ______
PROGRAMME INFORMATION (mark with X)
Intended period of attendance:
1 month ______
3 months ______
Information on intended areas of study
1. Which field of study would you like to pursue at the Faculty of Arts Masaryk University? (subjects, graduation thesis..)______
2. Please describe your study plans in detail on a separate sheet of paper and tell us why you want to study at the Faculty of Arts Masaryk University.
3. Have you already established some contacts with some professors at the Faculty of Arts Masaryk University (If you have please attach photocopies of your correspondence)
Yes _____ No _____
4. If you would like to attend the course Czech for Foreigners, please print and fill in this application form: http://www.phil.muni.cz/kabcest/prihlasky-etc/prihlaska-kurzy-cestiny.pdf
IMPORTANT
Be sure to fill out this form legibly and correctly!
DEADLINE TO RECEIVE THIS FORM: 08. 12. 2010.
Please include the following items:
1. Application for admission
2. CV (in Croatian, Russian, Czech or English)
3. Description of intended studies or research project (in Croatian, Russian, Czech or
English) – study plan
4. Motivation letter (in Croatian, Russian, Czech or English)
5. Grade transcript and certificate of enrolment
6. Application form for the course Czech for Foreigners
Expected date of arrival: ______
Expected date of departure: ______
Date and place: ______
Signature: ______
CONTACT ADDRESS:
Ivana Bedeković (e-mail: ) Student Mobility Officer
Faculty of Humanities and Social Sciences University of Zagreb, Ivana Lučića 3, HR-10000 Zagreb, Croatia.
Tel. +385 1 6120 138, fax. +385 1 6156 879