HELLENIC MEDITERRANEAN UNIVERSITY

International Relation s Office

 

Application form for Entry as an Exchange Student

 

Personal Details :

Surname:

First name:

Gender:

Date of Birth:

Place of birth:

Passport or ID Number:

Nationality:

 

 

 

 

Permanent address:

Number and street:

City:

Postcode

Country:

Telephone Numbers:

 

Email address:

 

Academic information:

Home University:

 

Home Department:

 

Study Circle:

Subject Area Code 1 :

 

 

 

 

Departmental Erasmus coordinator (at your home university) contact info:

Full name:

Phone number:

Email:

 

Host University:

TEI Crete Department:

 

Period Of Study 2 :

 

 

Additional Information

Visit Reason:

Region:

Language competence in English 3 :

Attend EILCs:

Accommodation:

(Select if you like to apply for accommodation at T.E.I. of Crete - only for students who apply in TEI of Crete in Heraklion )

Motivation:

 

Table A . Study Programme in TEI of Crete

Code 4

Component Title

Semester 5

ECTS

 

 

Person to Contact in case of emergency:

Relation

Full name:

Phone number:

Email:

 

Student' s confirmation: I confirm that all information in this application are to the best of my knowledge.

 

Student' s signature:

Date:

 

Home Institution - Academic Coordinator: I hereby confirm that the above student is student of our Institution and has at least the adequate level of B2 in English.

 

Signature:

Name and Title:

Date:

 

1 (Select From: https://eforms.edu.teicrete.gr/en-us/erasmus_in/subjectareacode )

2 (Before filling in the period of your studies please check the academic calendar of TEI of Crete in the link: http://www.teicrete.gr/en/tei/13730 )

3 (Please check the guidelines before filling in your language competence in English)

4 (Select From: http://www.teicrete.gr/iro/en/index.php/courses-taught-in-english )

5 (autumn or spring)