Vilnius COLLEGE OF TECHNOLOGIES
AND DESIGN
Application FORM
Antakalnio St. 54
LT – 10303
Vilnius, Lithuania
European Union
Tel.: +370 5234 0488
Fax: +370 5234 3769
Application for a Full Degree Study Program
at Vilnius College of Technologies & Design
Minimum English Level / Study start:Fall 2017
Civil Engineeringstudy program (in English): / Intermediate
Multimedia Designstudy program (in English): / Intermediate
Electrical and Automation Engineeringstudy program (in English): / Intermediate
Graphic Design study program (in English): / Intermediate
Please choose your study program
- Student’s Personal Data (to be completed by the student applying)
First name(s) /
Last name (s)
Date of birth
Place of birth
Sex
Passport series (if applicable)
Passport number
Passport valid until (date)
Personal identity code(if applicable)
Citizenship
Address
Telephone number
2. Education
A. Secondary school/High school (age 14-18):Name of school:
From (month/year):To (month/year):
Qualifications
achieved:
Have you obtained a Qualification Recognition Certificate from the Centre for Quality Assessment in Higher Education (SKVC) in Lithuania?
B. University/College/Other (if any):
Name of institution:
From (month/year):
Program/course:
Relevant subjects studied: / Total amount of study (hours):
3. Relevant work experience (if any)
Employer / Job title / type of work / No. of months / Period from / to1.
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4. Motivation to support your application
Please write below your reasons for applying for this program and any further information that supports your application5. Language Competence
In order to be admitted to our study programs, students must have intermediate level languageskills in English. If you haven’t taken any international language tests, please contact our International Relations Office to inquire how you can prove your skills in an alternative way.
A. Is English your mother tongue? Circle one: Yes NoB. Have you taken any international language tests? If yes, please indicate language test and score:
Name of test: /
Score:
/ Date:C. Are there other facts, which could provide evidence of your English skills? If yes, please describe below
6. List of documents enclosed
All qualifications (education, English test, and work experience) must be fully documented in English: certificates, diplomas, SKVC certificate, job references (if any), scores from English tests, portfolio (for design programs only). Please send high-definition copies of documents only, as originals may be lost or damaged.
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7. Applicant’s signature:
Date: 20__ Signature:Page 1 of 5