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Викладачам УКУ
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Twitter
*
-
fields are required
Personal information
Last name
*
First name
*
Date of birth
*
(DD/MM/YYYY)
Place of birth
*
International passport number
*
Issued by
*
(4-digit number)
Date of issue
*
(DD/MM/YYYY)
Valid until
*
(DD/MM/YYYY)
Please upload a scanned copy of the first page of the international passport and your CV
*
(Europass format in English)
Please, use the pdf format. Max size for each of document 5 MB
Please upload a scanned copy of your CV
Contact information
Current address
*
Street
*
.#
Town/village
*
Region (Oblast, rayon)
*
Postal code
*
Phone number
*
Email
*
Emergency contact person
*
(name, address and relation to you)
Emergency contact phone number
*
Emergency contact email
*
Study details
Study level
*
BA student
MA student
STL
PhD student
Year of study
*
1
2
3
4
5
6
Faculty
*
Faculty of Philosophy and Theology
Faculty of Humanities
Faculty of Social Sciences
Faculty of Health Sciences
Faculty of Applied Sciences
Please upload a scanned copy of Transcript of Records
*
Please, use the pdf format. Max size for each of document 5 MB
Language competence
Please choose the main language of instruction at the host university
*
English
French
German
Italian
Spanish
Polish
Other
What is your language proficiency?
*
according to the
Common European Framework of Reference for Languages
B2
C1
C2
Have you taken courses (at least two) with the English language of instruction at UCU or in an online platform in the last two years?
*
yes
no
I’m currently taking the course
Please provide us with the information about each course
name of the course/ name of the professor
Please provide us with the information about each course
Please provide us with the information about each course
If you have a certificate, please upload its scanned copy.
Please, use the pdf format. Max size for each of document 5 MB
If you have a certificate, please upload its scanned copy.
If you have a certificate, please upload its scanned copy.
Please upload a proof of English language proficiency
*
Please, use the pdf format. Max size for each of document 5 MB
Mobility program details
Academic Mobility Program
*
Erasmus+
FUCE
Bilateral exchange
Other
Country of planned mobility
*
Name of the host University
*
Motivation letter
Please upload a letter of motivation.
*
Please, use the pdf format. Max size for each of document 5 MB
A motivation letter should consist of answers to the following questions:
Reasons why you have chosen the specific host university?
Which courses/study program would you like to attend? Why?
How will these courses contribute to your studies at UCU?
What is the expected outcome of the mobility regarding your future plans?
Additional information
Do you have any special needs or additional learning support requirements?
*
no
yes (please specify)
Do you have any health problems that might discourage participation in mobility or require special treatment?
*
no
yes (please specify)
If any health problems occur before or during the mobility, you are obliged to notify the International Office in a timely manner
*
I agree
I disagree
Provide any other additional information which, you think, could be useful for our consideration
Confirm
I confirm that the information which I have given in this Application form is complete, actual, and true. I am aware that any false statements will lead to my application being rejected.
Consent
I hereby give consent for my personal data included in my application form to be processed for the purposes of participation in Semester Abroad Contest.