Please note! You should first be nominated as an Erasmus+ students by your home university before filling out this form. Please contact your international office or faculty Erasmus+ coordinator!
Family name
First name
Date of birth dd/mm/yyyy
Place of birth
Gender MaleFemale
Nationality
Permanent address
Correspondence address (if different)
Telephone
E-mail
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)
Home institution
Address
Faculty
Department
Study program
Level of study BAMAPhD
Year of study
Ukrainian NoneA1A2B1B2C1C2
English NoneA1A2B1B2C1C2
Other (please specify) NoneA1A2B1B2C1C2
I intend to take Ukrainian Language course YESNO
I apply for the University accommodation YESNO
If yes, please specify check-in and check-out dates:
Academic year
Start semester
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.
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
