Please note! You should first be nominated as an exchange student by your home university before filling out this form. Please consult with your International office or Faculty coordinator!
Date of birth dd/mm/yyyy
Place of birth
Correspondence address (if different)
International passport №
International passport issued on
International passport valid until
Emergency contact person
Emergency contact person's telephone number
Emergency contact person's email
Emergency contact person's relationship
Emergency contact person's address
Special needs information (if relevant)
Level of study
Year of study
Other (please specify)
I intend to take Ukrainian Language course
I apply for the University accommodation
If yes, please specify check-in and check-out dates:
Duration in semester
I intend to study at the following unit
Faculty of Philosophy and TheologyFaculty of HumanitiesFaculty of Social SciencesFaculty of Health SciencesFaculty of Applied Sciences
Please, briefly describe the academic areas in which you are especially interested
Please provide the information which, you think, could be useful for consideration
Copy of the first page of international passport
The official Transcript of Records in English signed and stamped by your university (this is a list of exams you have passed so far at your home university, with grades)
Motivation letter (max 500 words)
Learning agreement (signed by you and your home university)
Proof of the language proficiency.
Europass Curriculum Vitae.
I hereby certify that the information given in this application form and the documents provided are correct and complete.
I hereby give consent for my personal data included in my application form to be processed for the purposes of admission at Ukrainian Catholic University in order to participate in this program