UNIVERSITY OF THESSALY
STUDENT APPLICATION FORM
ACADEMIC YEAR 20 _ / 20 _
(Photo)
SENDING INSTITUTION:
ERASMUS CODE:
Contact person in the International Office:
Name:
tel.number:
e-mail:
Student’s Personal Data:
Last Name:
Date of Birth:
Nationality:
Mobile:
Permanent Address:
First Name:
Sex:
Tel number:
e-mail:
Academic Data:
Department:
Period of stay:
 WS
 SS
Have you already been an Erasmus student before?
If Yes, for  Studies
 Placement
LANGUAGE COMPETENCE
In English (required)
In Greek (if any)
 Full Year
 Yes
 No
 B1  B2  C1  C2
 A1  A2  B1  B2
We hereby acknowledge the candidate’s application and the proposed learning
agreement.
Student’s Signature
Sending Institution
Erasmus+ Coordinator’s
signature and stamp
Host University
Erasmus+ Coordinator’s
signature and stamp
Date:
Date:
Date: