APPLICATION FORM FOR ERASMUS STUDENT MOBILITY FOR TRAINEESHIPS MOBILITY FOR HIGHER EDUCATION STUDENTS– UNIVERSITY OF MALTA ACADEMIC YEAR 2015/2016 Attach recent photograph 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