STUDENT APPLICATION FORM

TO THE ACADEMY OF MUSIC IN KRAKÓW

Please attach a
recent passport
photograph
ACADEMIC YEAR 20............./20.............
Study Programme: .......................................................................................................................
Principal study subject: ...........................................................................................................

HOME INSTITUTION

NAME …………………………………………………………………………………………………………………………..……….
Erasmus ID Code: …………………………………………………………………………………………….
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Coordinator: ………………………………………………………………………………………….
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Tel: ……………………………………………………………… Fax: ……………………………….………………………..……
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E-mail: ……………………………………………………………………………………………………………………………..…..

STUDENT
Family name:...................................................................................... First name(s):............................................................................
Date of birth:.................................................. Age:...................... Place of Birth: ............................................................................
Sex:  Male  Female Nationality:....................................................................................
Current address: ........................................................................... Permanent address (if different):........................
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Current address is valid until:......................................... .....................................................................................................................

Tel.:+...................................................................................................
Tel.:+...........................................................................................................
Fax: +..................................................................................................
Fax: +..........................................................................................................
E-mail: ...............................................................................................
E-mail: .......................................................................................................

PREVIOUS/CURRENT STUDIES
Previous/Current studies

Diploma/degree for which you are currently studying: ................................................

Level (BA,MA or Doctoral)/year.................................................................................

Professor in main field of study: ...............................................................................
Number of higher education study years prior to departure abroad: ...................

1
 PERIOD OF STUDY AND PREFFERED PROFESSOR
from to Preferred professor of main subject
(option 1)
...................
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Duration of stay (months) Preferred professor of main subject
(option 2)
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AUDITION/RECORDINGS/SAMPLE OF POSSIBILITIES
PLEASE SEND YOUR RECORDINGS (10 – 20 minutes of varied repertoire) and
CV as an attachment to the e - mail
Composers or theoreticians: please send the sample of possibilities (scores,
articles, etc.) as an attachment to the e – mail.

LIST OF PIECES:
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LIST OF DESIRED SUBJECTS A THE ACADEMY OF MUSIC IN KRAKOW

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