text size

Electronic Erasmus Application - practical placement

(Student’s) Personal Data First Name(s)Empty
Family Name(s)Empty
Date of BirthEmpty
Place of BirthEmpty
SexEmpty
Identification number of travel documentEmpty
Travel document valid untilEmpty
State CitizenshipEmpty
Permanent Address StreetEmpty
TownEmpty
ZIP codeEmpty
StateEmpty
Contact E-mailEmpty
TelephoneEmpty
Person to notify in case of emergency Full nameEmpty
E-mailEmpty
TelephoneEmpty
AddressEmpty
Information on studies Sending institutionEmpty
Studying for degree Empty
Years of study to dateEmpty
Previous study abroadEmpty
Previous Erasmus studyEmpty
Coordinator Full nameEmpty
E-mailEmpty
TelephoneEmpty
FaxEmpty
Receiving institution FacultyEmpty
DepartmentEmpty
Contact personEmpty
Information about Erasmus Reasons to study abroadEmpty
Type of stayEmpty
AccomodationEmpty
Specuial needsNo
Field of studyEmpty
Academic yearEmpty
TermEmpty
Practical placement
PracovištěEmpty
Velikost pracovištěEmpty
Contact personFirst Name(s): Empty
Funkce: Empty
Telephone: Empty
E-mail: Empty
Address: Empty
Knowledge, skills and competences to be acquiredEmpty
Detailed programme of the training periodEmpty
Tasks of the traineeEmpty
Monitoring and evaluation planEmpty
Language competenceEmpty
Type of work placement sectorEmpty
ECTS creditsEmpty
Editace specifika praxe

Possible actions:

Before submiting you have to fill:

  • You must state at least one language
  • You must fill in the application form
  • Musíte vyplnit náplň a specifika praxe