APPLICATION FORM
EPS – European Project Semester, Vasa, Finland
Novia University of Applied Sciences International unit
PB 6
FIN-65201 Vasa FINLAND
Tel: +358-6-328 5156 Fax:+358-6-328 5110
E-mail: camilla.moliis@novia.fi
Application deadline: 1 November, Spring semester (February-May) 1 May, Autumn semester (September-December)
Applying for EPS: __ Autumn 201__ or __ Spring 201__
PERSONAL INFORMATION Last name:
________________________________________________________
First name:
________________________________________________________
Date of birth (day/month/year): ___________________________________
Sex: female male
Nationality: ________________________________________________________
Home university: _____________________________________________________
1 2 3 4 years of study completed Present address (Street, postal code, city, country)
___________________________________________________________________
Phone: ____________________________________________________________
E-mail: ____________________________________________________________
Permanent address:
___________________________________________________________________
Person to contact in case of emergency: (Name, relationship and phone number) ___________________________________________________________________
___________________________________________________________________
APPLICATION FORM
EPS – European Project Semester, Vasa, Finland
HOME INSTITUTION
Home institution and ERASMUS code:
___________________________________________________________________
Contact person in your home university:
___________________________________________________________________
Address:
___________________________________________________________________
Phone/Fax:
___________________________________________________________________
E-mail:
___________________________________________________________________
Project:
Within the project I am especially interested in these fields/subjects:
.………
...
My special skills:
……….
……….
Enclosures: CV (including fields of study, IT-skills, working experience) Transcript of records
ECTS learning agreement
Please send your application to the EPS-contact person at your home university.
HOST INSTITUTION
The student is accepted is not accepted
Project coordinator, signature International coordinator, signature ___________________________ _______________________________
Date Date
___________________________ _______________________________
