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: