Mobility Report: STUDENT REPORT
Academic Year: _________________
Please indicate:
CEEPUS Network Number (CPnr.):___________________________
or
Freemover
Dear CEEPUS Student!
Your feedback is very important for CEEPUS, so please forward this report together with the
Letter of Confirmation to your National CEEPUS Office (NCO) within two weeks after
returning from your host country or as advised by your National CEEPUS Office!
Thank you!
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Contact Addresses: National CEEPUS Offices
Austria:
Dr. Lydia Skarits
Büro für Akademische Mobilität
Alserstrasse 4/1/15/7, A-1090 Vienna
Tel.: (+43 1) 42 77 281 89
Fax: (+43 1) 42 77 281 94
E-mail: lydia.skarits@oead.ac.at
Hungary:
Adél Csernovitz, Krisztina Tóth
Tempus Public Foundation/Hungarian CEEPUS Office
Mailing Address: 1438. Budapest 70. P.O.Box: 508.
Address: 1134. Budapest, Váci út 37.
Tel.: (+36 1) 237-1300
Fax: (+36 1) 239-1329
E-mail: ceepus@tpf.hu
Bulgaria:
Poland:
Rossitza Velinova
Michal Skowronski
Ministry of Education and Science
Office for Foreign Studies
European Integration and Bilateral
Polish National CEEPUS Office
Cooperation Department
Smolna Str. 13.
2A Dondukov Bld., BG-1000 Sofia
PL-00375 Warsaw
Tel.: (+359 2) 9217635
Tel.: (+48 22) 828 2433
Fax: (+359 2) 9880600
Fax: (+48 22) 826 2823
E-mail: r.velinova@minedu.government.bg
E-mail: m.skowronski@buwiwm.edu.pl
Croatia:
Slovakia:
Davor Sovagovic
Zuzana Gregorova
Ministry of Science and Technology
SAIA-SCTS
Strossmayerov trg. 4.
Namestie Slobody 23
HR-10000 Zagreb
SK-812 20 Bratislava 1
Tel.: (+385 1) 4594 556
Tel.: (+421 2) 5441 1426 / 5441 1436
Fax: (+385 1) 4819 331
Fax: (+421 2) 5441 1429
E-mail: davor.sovagovic@mzt.hr
E-mail: zuzana.gregorova@saia.sk
Czech Republic:
Slovenia:
Dr. Jitka Nováková
Neza Pajnic
House of International Services
CMEPIUS - Centre for Mobility and EU Programmes
Senovázné nám. 26. POB. 8.
Ob Zeleznici 16
CZ-110 06 Praha
SI-1000 Ljubljana
Tel.: (+420 2) 24 398 263
Tel.: (+386 1) 5864 233
Fax: (+420 2) 24 222 583
Fax: (+386 1) 5864 231
E-mail: CEEPUS@dzs.cz
E-mail: neza.pajnic@cmepius.si
Romania:
Central CEEPUS Office
Daciana Vijiitu
Elisabeth Sorantin
National CEEPUS Office
Liechtensteinstrasse 22 A/I/7.
Ministry of Education and Research
A-1090 Vienna
Strada General Berthelot 30.
Tel.: (+43 1) 319 48 50/11
RO-010168 Bucharest
Fax: (+43 1) 319 48 50/10
Tel., Fax: (+4021) 310 43 19
E-mail: ceepus@ceepus.org
E-mail: daciana@mec.edu.ro
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1. Basic Personal Data:
1.1 Personal Data
academic degree:
first name:
last name:
sex:
 male
 female
date of birth:
citizenship:
1.2 Country of origin: please tick appropriate box:
= country of your home institution







Austria
Bulgaria
Croatia
Hungary
Poland
Slovakia
Slovenia
1.3 Host country : please tick appropriate box:
multiple entries if necessary







Austria
Bulgaria
Croatia
Hungary
Poland
Slovakia
Slovenia
1.4 Period of Stay
as in your Letter of Confirmation
from: (dd/mm/yy) ______to: (dd/mm/yy):______in: (host country):______________
from: (dd/mm/yy) ______to: (dd/mm/yy):______in: (host country):______________
from: (dd/mm/yy) ______to: (dd/mm/yy):______in: (host country):______________
1.4.1 Prolongation: Was your CEEPUS grant prolonged?
please tick appropriate box
 yes
 no
1.4.2 Duration: Total in scholarship months (incl. prolongation where applicable)
3
please tick appropriate box
1
2
3
4
5
6
7
8
9
10
11
1.5 Field of Study (Index copyright SAIA Slovenska)*
please mark the appropriate box according to your general field of study
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
140000
EDUCATION & TEACHER TRAINING
180000
FINE & APPLIED ARTS
220000
HUMANITIES
260000
RELIGION & THEOLOGY, GENERAL
300000
SOCIAL & BEHAVIOURAL SCIENCES
340000
BUSINESS ADMINISTRATION & MANAGEMENT
380000
LAW
420000
NATURAL SCIENCES
460000
MATHEMATICS & COMPUTER SCIENCE
500000
MEDICAL SCIENCES
520000
TECHNOLOGY
540000
ENGINEERING
580000
ARCHITECTURE & TOWN PLANNING
620000
AGRICULTURE, FORESTRY & FISHERY
660000
HOME ECONOMICS (DOMESTIC SCIENCE)
700000
TRANSPORT & COMMUNICATIONS
780000
SERVICE TRADES
840000
MASS COMMUNICATION & INFORM. SCIENCES
890000
SECURITY & RECREATION
1.6 Local Denomination of your Field of Study (in English)
1.7 Student Progress
When consuming my CEEPUS grant, I was in my ______________semester.
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2. Studying Abroad
2.1 Host Institution:
university:
faculty/institute:
country:
where applicable also second host institution:
university:
faculty/institute:
country:
2.2 Activities: Lectures and Courses
Please list the lectures/courses attended:
Note: You may add another sheet of paper
Title
Type of
Instruction
Language of
Instruction
5
hrs per exam
week
passed:
yes/no
2.3 Activities: Other types of instruction
please tick appropriate box, multiple entries are possible
I have participated in/attended:





Laboratory work
Practical training
Worked on my thesis
Summer School
other activities:please specify:
_________________________________________________
2.4 Integration:
please tick appropriate box
2.4.1 Did you feel well integrated during your stay in the host country:
 academically
 yes
 no
(i.e. assistance in finding your way at the host institution, tutoring or similar activities?)
 socially
 yes
 no
(e.g. buddy network)?
2.4.2 Were there any special activities to encourage integration?
 yes
 no
if yes, please specify:
2.5 Organizational details: please tick appropriate box
2.5.1: Preparation:
Did you encounter any difficulties while preparing for your period of studying abroad?
 no
 yes
if yes, please specify: (keywords)
2.5.2 Payment of Scholarship: Agency
By which agency/institution was your scholarship paid?
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2.5.3 Payment of Scholarship: Intervals
At which intervals was your scholarship paid?



monthly
weekly
other interval:__________
2.5.4 Optional Funding:
Did you receive any additional CEEPUS funding/fringe benefits by authorities or
institutions in your home country and/or your host country?
 yes
 no
if yes, please specify:
 travel allowance
 others, please specifiy:
2.5.5: Fees
During your stay at your host institution, were you charged any fees?
 no
 yes
multiple entries possible
if yes, please specify:

registration fees

tuition fees

laboratory fees

other fees:______________
2.5.6 Accommodation: Preparation
Upon arrival at your host institution, how did you arrange for accommodation?
multiple entries possible




accommodation was arranged by host institution
checked local market with assistance of:_______________
checked local market alone
other arrangement:________________________________
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2.5.7 Accommodation: Type
Which type of accommodation did you use: multiple entries possible





student hostel
youth hostel
private flat shared with other students
private flat alone
other type of accommodation: _______________



hotel
private room
guest house
3. After your return:
3.1 Recognition please tick appropriate box
Did you have any difficulties in obtaining recognition of your period of studying
abroad?
 no
 yes
if yes, please specify:
3.2 Knowledge of Languages
please tick appropriate box
Was there any improvement in your language skills?
 yes
 no
if yes, grade your skills - after your return - on the table below:
(0 = not at all, I = basic, II= intermediate, III=fluent)
1
0
I
II III
0
I
II III
0
English
Bulgarian
Polish
German
Croatian
Slovenian
French
Czech
Slovak
I
II III
Hungarian
3.3 Possible Difficulties
please tick appropriate box
1
0 = not at all, I= basic, II= intermediate, III=fluent. Please note: If you do not mark any box, "0" no competence
will be assumed: Please indicate all boxes!
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Did you encounter any difficulties?
 no
 yes
If yes, what were your biggest difficulties?
3.4 Possible improvements
If you have suggestions for improvement, please let us know:
3.5 Network Performance
If you could rate the performance of your network, which grades would you give for
overall performance:



excellent
ok
room for improvement
How did you arrive at this conclusion, which criteria did you apply?
3.6 Assistance for future CEEPUS students
please tick appropriate box
Would you be interested in sharing your CEEPUS know-how with future students?
 yes
 no
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3.7 Best memory
What is the best memory of your CEEPUS experience?
I agree to electronic processing of the data provided
Signature: _______________________________
Date:
_______________________________
THANK YOU FOR YOUR COOPERATION
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