APPLICATIONS

Personel Information












 Man Women







Administrative and Academic Information








 Yes No

(If yes) I am a departmental/faculty coordinator at


Details of Application and Proposed Mobility Abroad

 Yes No

If Yes, did you receive an Erasmus grant and when?

Destination university or organization:




 Fall Spring



 (1-50) Small (50-500) Medium (˃500) Large

*Measured according to the number of staff members

Approximate Departure
Approximate Arrival














 Yes No

Please return your completed form, along with an email from your line manager indicating their support of your application, to International Relations and Erasmus Office (ulik@bartin.edu.tr) by 20th September 2016.

Personel Information












 Man Women







Administrative and Academic Information








 Yes No

(If yes) I am a departmental/faculty coordinator at


Details of Application and Proposed Mobility Abroad

 Yes No

If Yes, did you receive an Erasmus grant and when?

No

University

Country

1
2
3


 Fall Spring

Approximate Departure

Approximate Arrival














 Yes No

Please return your completed form, along with an email from your line manager indicating their support of your application, to International Relations and Erasmus Office (ulik@bartin.edu.tr) by 20th September 2016.



hours
Week

Personel Information










 Man Women










(Please explain in details if applicable)

Academic Information









out of 4.00




Institutional Coordinator








Departmental Coordinator








Language Competence

Mother tongue: Language of instruction at home institution (if different):

Other languages I am currently studying this language I have sufficient knowledge to follow lectures I would have sufficient knowledge to follow lectures if I had some extra preparation
 Yes No  Yes No  Yes No
 Yes No  Yes No  Yes No
 Yes No  Yes No  Yes No

Personel Information










 Man Women







Academic Information







out of 4.00






Application


Institutional Coordinator



No University Country
1
2
3

Language Competence

Mother tongue: Language of instruction at home institution (if different):

Other languages I am currently studying this language I have sufficient knowledge to follow lectures I would have sufficient knowledge to follow lectures if I had some extra preparation
 Yes No  Yes No  Yes No
 Yes No  Yes No  Yes No
 Yes No  Yes No  Yes No

Work Experience Related to Current Study (if relevant)

No Type of work experience Firm/organisation Dates Country
1
2

Previous and Current Study









BARTIN UNIVERSITY

 

Erasmus+

Outgoing Student for Traineeship

Application Form

2015/16

Personel Information










 Man Women







Academic Information







out of 4.00






Number of Previous Experience

(if applicable, please give details for your previous experience of mobility)

This is my first application for an experience of student mobility
 
I have previously experienced student mobility
 
DATE Type of Mobility
Internship Studies
Proposed Duration and Dates for Traineeship  
Months


Days


from


to




Previous and Current Study








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