Document 13013370

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APPLICATION FORM FOR ERASMUS STUDENT MOBILITY FOR TRAINEESHIPS
MOBILITY FOR HIGHER EDUCATION STUDENTS– UNIVERSITY OF MALTA
ACADEMIC YEAR 2015/2016
Attach recent
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K indly note that handw ritten Applications w ill not be accepted.
PERSONAL DATA
Last Name: ________________________________
First Name: ____________________________________
Date of Birth: ______________________________
Sex: M □ F □
Nationality: ________________________________
I.D. Card No:___________________________________
Home address:
_______________________________________________________________________________________________
Tel/Mobile: _____________________________
Course ________________________________________________
UoM Email:___________________________________
LANGUAGE COMPETENCE
Mother Tongue:___________________
Other Languages:
_____________
A1 
A2 
B1 
B2 
C1 
C2 
_____________
A1 
A2 
B1 
B2 
C1 
C2 
_____________
A1 
A2 
B1 
B2 
C1 
C2 
_____________
A1 
A2 
B1 
B2 
C1 
C2 
For the Common European Framework of Reference for Languages (CEFR)
see http://europass.cedefop.europa.eu/en/resources/european-language-levels-cefr
PLACEMENT PREFERENCE
Kindly indicate in which partner institution you would like to follow your exchange:
(The list of placements is available at:
http://www.um.edu.mt/int-eu/erasmus/outgoing/placements )
1st Preference: ________________________________________________
2nd Preference: ________________________________________________
3rd Preference: ________________________________________________
Is this the first application you have submitted for the Erasmus Programme? Yes □
No □
Signature: ___________________________________
Date: _____________________________________
(Kindly sign in blue ink)
Funded with the support from the European Commission
Instructions to Applicants:

Kindly note that handwritten applications will not be accepted.

Please submit one original and a photocopy of the original application form, (FEMA and Faculty of Arts
students are required to submit two photocopies of the original application form).

Prior to completing the application form you are advised to consult your Head of Department regarding the
choice of Universities and semester.

Application forms are to be submitted at the following address:
International & EU Office
Room 105
Administration Building
University of Malta
Late Application forms will not be accepted.

All personal information requested in this application form is treated as confidential.

Kindly ensure that upon submission of your application form, an acknowledgement of application receipt is
provided to you.

Any queries related to this application form can be directed to the International & EU Office on (2340
2804/3416) from (10.00hrs-12.00hrs, 15.00hrs-16.00hrs) or via email: (erasmus@um.edu.mt).

European Language Competence
It is beneficial for the students to self-assess themselves in the language competence, so as to find a
suitable University which will cater for their Academic needs.
Some European Universities will offer tuition in their native language, (eg: France, Italy, Spain, Germany)
therefore it would be advisable for the students to check their competence level in that specific language,
so as to be able to follow lectures and sit for exams. Students are advised to check the University Key data
sheets found here:
http://www.um.edu.mt/int-eu/erasmusplus/outgoing/keydatalist or you can contact us
on: erasmus@um.edu.mt for more information.
Students may wish to refer to the online self-assessment tool, so as to gauge their language competence.
The European Level- Self Assessment Grid below is being provided for ease of reference
http://www.um.edu.mt/__data/assets/pdf_file/0011/209684/selfassessmentgrid.pdf
Some European Universities will offer tuition in their native language, therefore it would be advisable for
the students to check their competence level in that specific language, so as to be able to follow lectures
and sit for exams.
Students are notified that the level of language obtained through this online tool (Europass) will in no way
affect the selection process of the Erasmus+ beneficiaries.

For more updates you can join our Facebook page
on: http://www.facebook.com/internationaluniversityofmalta
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