RECEIVING INSTITUTION: UNIVERSITY OF MISKOLC (HU MISKOLC01)
COUNTRY: HUNGARY

APPLICATION FORM 2023/2024



Academic Year / Semester
* Academic Year
* Semester
I. STUDENT’S PERSONAL DATA
* First name
* Surname
* Gender
* Citizenship
* Place of birth
* Date of birth (day/month/year)
* Country of birth
* Passport or ID card number
* Mother's full maiden name (first name+surname)
* Sending institution
* Postal address, e-mail, WEB site (Sending Institution)
* Country
* Year of studies at home institution
* Degree to be obtained at the end of your studies
* Address for correspondence
* E-mail
II. STUDIES AND LANGUAGE SKILLS
* Start date of your planned study period (day/month/year)
* End date of your planned study period (day/month/year)
* Mother tongue
Other language competence 1
Level of other language competence 1
Other language competence 2
Level of other language competence 2
III. ACCOMMODATION
As soon as the Secretariat gets the application, you will be pre-registered for accommodation. Erasmus exchange students are accommodated in student hostel nr. E/6 on the campus. You don’t need to fill in any accommodation form. The Secretariat will send the students the final confirmation about accommodation. If you have special requests, please inform the Secretariat well in advance.
IV. DETAILS OF THE PROPOSED STUDY PROGRAMME ABROAD
* My faculty at the host institution
* Form of study
V. EQUALITY AND EQUITY

The following questions serve the purpose of implementing INCLUSION, one of the main principles of the Erasmus+ programme in 2021-2027, in order to give full support to disabled students.

Do you have any type of disability or chronic disease which demands special support from the University of Miskolc?

If yes, please check this box and go on with the following questions. Multiple answers are possible.
What kind of disability do you have?
motor disabilities
sensory disabilities
learning difficulties
mental health disability
debilitating diseases
intellectual disabilities
autism or other pervasive developmental disorders
other disability:

What kind of help/services do you need most at the host university?
wheelchair accessability to buildings, dormitories, lifts and restrooms
learning adjustments
an office or person you can always turn to
occasional personal counselling in academic or everyday issues
professional psychological counselling
more than average help from ESN (Erasmus Student Network)
no need for special help
other:

Learning adjustments further specified:
interchangeability of oral and written tasks/exams
increased time to perform tasks or pass exams
use of PC or other supportive tools or specific materials
break during a lesson
authorised break in an exam
extra consultation hour with teachers
spelling mistakes not taken into account
eating/drinking during a lesson
shorter time for class attendance
learning over a longer time frame
a helper who can take lecture notes
dedicated room
no need for learning adjustments
other:

Any other comment you think necessary to tell us:
VI. DETAILS OF THE PROPOSED STUDY PROGRAMME ABROAD
View detailed list of Courses
Course 1
Course 2
Course 3
Course 4
Course 5
Course 6
Course 7
Course 8
Course 9
Course 10
Course 11
Course 12
Course 13
Course 14
Course 15
Course 16
PLEASE NOTE
that this course selection is not the official Learning Agreement (LA). Do not forget to fill in the hard copy version of the LA using the template of your institution or ours (available at http://erasmus.uni-miskolc.hu). Although the registration form and the LA are filled in separately, your registration at the University of Miskolc is only valid if the courses selected are identical in both documents. Were you to make any modifications to your LA before arrival to Miskolc, you will have to fill this registration form in again.

The LA signed by the student and the coordinator of the sending institution should be sent to University of Miskolc, Secretariat of the Vice-Rector for Research and International Relations, 3515 Miskolc-Egyetemváros, Hungary.

E-mail: reksando@uni-miskolc.hu

We accept scanned LAs, but if your university requires original signatures, LAs should be sent by post, too.
VII. DECLARATION

Tick here for confirmation. 		* I declare that all the data uploaded in this application form are true and correct.
Evaluate the following expression:

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