Erasmus Mundus External Cooperation Window for Lot 12

INCOMING MOBILITY Application Form

2009/2010 and 2010/2011 NB: APPLICATION DEADLINES FOR STUDENT MOBILITY
II semester 2009/2010 : 4/01/2010 I semester 2010/2011 : 15/05/2010
PLEASE TYPE OR COMPLETE IN CAPITAL LETTERS Application forms with incomplete fields, missing data or signature(s) and/or attachments will not be considered.
FAMILY NAME/S GIVEN NAME/S GENDER PROGRAMME/DEGREE YOU ARE APPLYING TO (At Trento University) FACULTY/DEPARTMENT AND HOME UNIVERSITY YOU BELONG TO CONTACT DETAILS OF THE EXCHANGE ADVISOR/COORDINATOR at your home University

MALE

FEMALE

STATUS

Name/Surname Position Email Undergraduate student (BA) Graduate (Master) student

Degree seeking (possible only for Master Programmes) Credit Transfer

CITIZENSHIP / NATIONALITY (specify if you have Italian nationality as well) DATE AND PLACE OF BIRTH PASSPORT NUMBER AND EXPIRY DATE TELEPHONE NUMBER (with international code) E-MAIL ADDRESS PERMANENT ADDRESS (in your home Country) ITALIAN EMBASSY/GENERAL CONSULATE TO WHICH YOU WILL REFER TO (if you are a non EU citizen and need the visa) ADDITIONAL ADDRESS WHERE YOU WANT TO RECEIVE THE INVITATION LETTER (if visa is needed) PERIOD OF STAY IN TRENTO TO BE MENTIONED IN THE INVITATION LETTER (if visa is needed) DO YOU NEED AN ACCOMMODATION RESERVATION? (If YES, the Welcome Office will contact you) IF YES, specify the PERIOD Are you interested in attending an Italian language course at the Trento University language Centre (CIAL)?? NB: Arrivals for the I semester 10-11 are allowed from August 24th to 26th. FROM _____________TO_____________ N. Expiry date

and date of issuing____________________

YES

NO

FROM _____________TO_____________

YES

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European Programmes, Cooperation and Networks Office - International Cooperation Mobility Division - University of Trento Via Verdi, 6 38100 Trento (Italy)

CHECK LIST OF DOCUMENTS TO BE TRANSMITTED

Application form duly completed and signed 1 passport-style photographs Clear Copy of a valid passport Official transcript of records issued by your home university Curriculum vitae including Italian and/or English language knowledge Learning Agreement signed, with the list of courses you intend to attend at the University of Trento (please check the weblink:

http://www.esse3.unitn.it/FacoltaRicercaAttDid.do;jsessionid=5759EC33A6CDFE60218 CA4D923CC651E.jvm_unitn4 )

Please send the application form along with requested documents as attachments to the European Programmes, Cooperation and Networks office.
Privacy Disclaimer. Your personal data will be handled for organisational and follow up matters, as requested by the EMECW Programme and pursuant to the Italian Law (article 7 and 13 of DLgs n. 196/2003 "Codice in materia di protezione dei dati personali"). The responsible of data handling are the University of Trento, and Opera Universitaria of Trento.

Date___________________

Signature ___________________________________________________

TO BE FORWARDED UPON APPROVAL OF THE EMECW COORDINATORS / INTERNATIONAL RELATIONS OFFICERS OF THE HOME UNIVERSITY either by fax (0039/0461/882917 or 2916), by e-mail (programmieuropei@unitn.it), or by priority mail : European Programmes, Cooperation and Networks Office University of Trento Via Verdi 6 - 38100 Trento - Italy Application forms with missing data or signature(s) and/or attachments will not be considered.

Thank you!

European Programmes, Cooperation and Networks Office - International Cooperation Mobility Division - University of Trento Via Verdi, 6 38100 Trento (Italy)

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