ERASMUS APPLICATION FORM A. Student's personal data Family name: ………………………………….. Given name: ………………………………….. Sex: female / male; Citizenship: …………………………….; Nationality: …………………….. Place and date of birth: …………………………………………………………………………… Current address: …………………………………………………………………………………. Permanent address: (if different) …………………………………………………………………. Phone number: …………………………; Mobile phone number: ……………………………… E-mail address: …………………………………………………………………………………… IBS programme: .............................................................................................................................. B. Education: Please give your overall result of the last semester. Please note that you must have minimum 30 credits in order to apply (Averaging all your grades …….%) Please mention if you need any special treatment concerning your health:…………………. C. Language skills Please note! If you choose Germany, France, Italy or Spain as Erasmus destination it is important that you speak the language of the chosen country at least at a lower intermediate level. If you have an accredited language exam certificate, please submit a copy of it, if you do not have a language certificate please state the level of your language knowledge ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… 1 For all information, please contact: Etelka Dombora, edombora@ibs-b.hu phone: +36-1-5888623 ERASMUS APPLICATION FORM D. Motivation letter Please write a motivation letter in English. The letter should include why you wish to study abroad, what is the reason for your choice of country and school, why do you think you would be the best representative of IBS, Also, please list if you have previous experience in participating in any other exchange programme, etc. Please do not exceed 300 words. ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… 2 For all information, please contact: Etelka Dombora, edombora@ibs-b.hu phone: +36-1-5888623 ERASMUS APPLICATION FORM E. References 1 Please ask one of your teachers to give a written explanation why would you be an appropriate representative of IBS. ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… teacher’s signature ……………………………………………. F. References 2 Please ask one of your classmates to explain why you would be a good representative of IBS ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… classmate’s signature ……………………………………………. G. Other Information Please provide any other information that you consider to be important, such as results in competitions, sports career, private entrepreneurship, etc. ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… 3 For all information, please contact: Etelka Dombora, edombora@ibs-b.hu phone: +36-1-5888623 ERASMUS APPLICATION FORM ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… H. Please list the Institutions to which you would like to apply in order of preference ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… Academic year 2015/2016 – semester I/II (please mark); BSc Students can choose ONLY the 2nd semester Application deadline: 31 March 2015 Date : …………………….. Signature ………………………………... 4 For all information, please contact: Etelka Dombora, edombora@ibs-b.hu phone: +36-1-5888623