Application Form for Erasmus Student Mobility for Training

Application Form for Erasmus Student Mobility for Training
I - PERSONAL INFORMATION
Name of the University :*

Fatih Sultan Mehmet Vakıf ÜniversitesiIşık ÜniversitesiAltınbaş ÜniversitesiBiruni ÜniversitesiMaltepe Üniversitesi
National ID No :*
(Passport Number for International Students)
Student ID No :*
Name / Surname

Name (First / Middle) :Surname
Sex :*

FemaleMale
Date of Birth :

GünAyYıl
(Day/ Month/Year)
Place of Birth :*
Citizenship(s)**
* Applicant’s grades will be decreased by 10 point if they will be applying to go to thecountry of citizenship
Mother’s Name/Surname
Father’s Name/ Surname
Department / Program *

DepartmenProgram
Cycle :*

VocationalBachelorMasterPhD.
GPA :*
(Grade Point Average)
Disability :*
If yes, please submit copy of your card at the time of application
*Applicant’s grades will be increased by 10 points with the condition that they document their disability status. Additional grant is allocated for the disabled student for extra costs including an accompanying person
Children of martyr or veteran* :*
*Applicant’s grades will be increased by 10 points if they are a child of a martyr and/or veteran under the 3713 act
Prior participation in Erasmus+ Mobility Programs**

YesNo
If Yes, please specify the type, the year and theduration of mobility

StudyTraineeshipDuration
Academic Year :
Duration :
days / months
* Students have right to attend Erasmus Mobility Programs (Study and Internship) with/without grant once (for 12 months in total) in every study cycle (Vocational-Bachelor, Master, PhD.).

* The Erasmus Grades of the applicants who attended the Erasmus Mobility before will be reduced by 10 points for each of the mobility.
Are you also applying to Erasmus+ Study Program?**

YesNo
If Yes, please specify the mobility type for which your Erasmus Grade will bereduced by 10 points

StudyTraineeship
* The Erasmus Grades of the applicants who are applying for both study and traineeship will be reduced by 10 points in accordance with their preference.
Please specify the duration of your anticipated internship :*

JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember
* Students who will graduate at the end of the academic year, are allowed to finish the Erasmus Training Mobility in 12 months after graduation.

* Student who need to attend courses regularly during the fall and/or spring semester cannot attend the Erasmus Training Program during those semesters.
Contact Details
Postal / Home Address*
Telephone :*
(Home / Mobile)
E-mail(s)*
example@example.com
Whom would you like to be contacted in the case of an emergency?
Name / Surname :*

NameSurname
Relation to the Applicant :*
Postal / Home Address :*
Telephone (Home / Mobile)*

HomeMobil
II. INFORMATION ON YOUR INTERNSHIP PERIOD ABROAD
Have you already been accepted by a firm?*

NoYes
If Yes, please fill the following sections;
At which institution do you plan to have your internship experience?*

*If you have not been accepted by an institution yet, you can leave the below boxes/questions about institution empty.
Country :*
Official Name of the Company :*
Official Website :*
Sector of the Company :*
PIC Number (If available) :
Name and the position of the Supervisor :*

Size of the Company :*

Small (1-50 employees)Medium (51-500 employees)Big (>500 employees)
Has the company / institution approved your internship application inprinciple?*

YesNo
Please indicate the official language of the company/institution abroad (foreign language you will use during your internship abroad) and your level of competence
Official Language(s) :*
Level of Competence :*

BeginnerIntermediateAdvanced
ERASMUS LANGUAGE PROFICIENCY*: Each University determines its own language assessment criteria and process. Please consult your University Consortium Representative/s. (Please check the link for the representatives)

* Erasmus grade will be decreased by 5 points, in case of nonattendance to Foreign Language Proficiency Exam,despite indicating otherwise or documenting the reason.
III. APPROVAL OF THE APPLICANT
Name of the Applicant : *
Date :*

GünAyYıl
dd-mm-yyyy
Place :*
I hereby confirm that all information in my application form is complete and correct, I have read and understood all information in the Call for Applications announcement published on the website of the Consortium.
HAND IN THE COMPLETED APPLICATION FORM TO YOUR UNIVERSITY’S CONSORTIUM REPRESENTATIVE/S!
I ACCEPT THAT MY PERSONAL DATA MAY SHARE WITH COMPANIES

YesNo, thank you
Should be Empty:

	Details
Postal Address :
E-Mail :
Telephone :

Application Form for Erasmus Student Mobility for Training

I - PERSONAL INFORMATION

II. INFORMATION ON YOUR INTERNSHIP PERIOD ABROAD

III. APPROVAL OF THE APPLICANT