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Exchange application form
Personal details
Family name:
*
First name(s):
*
Date of birth:
*
dd/mm/yyyy
Place of birth:
*
Nationality:
*
Sex:
*
Male
Female
Do you have a disability or
other special needs?
*
Yes
No
If yes, please specify:
*
Correspondance address (also valid during Summer break and/or Christmas break)
Street and number:
*
Postal code:
*
City
*
Country:
*
E-mailadres:
*
Telephone number (include
country code):
*
Person to contact in case of emergency
Please make sure your contact person speaks and understands English. Notify RUG staff ASAP if any of these details change!
Name contact person:
*
Relationship:
Street and number:
*
Postal code:
*
City
*
Country:
*
E-mailadres:
*
Telephone number (include
country code):
*
Exchange details
Home University:
*
Erasmus ID code:
Name coordinator:
*
E-mailadres coordinator:
*
Field of study in Home University:
*
Level / year (during exchange):
*
Bachelor-1
Bachelor-2
Bachelor-3
Bachelor-4
Master
Other
If other, please specify:
*
Exchange period:
*
Semester 1 (September - February)
Semester 2 (February - July)
Full academic year (September - July)
Other
If other, please specify:
*
Language skills
First language / mother tongue:
*
Language skills English:
*
Native speaker of English
My level of English proficiency is/equals CEF B2/C1 or higher
TOEFL 580/iBT 92 or higher
IELTS 6-6.5 or higher
My level of English is below the required level
My level of English is below the required level but I will follow an English course before departure
Other language skills (include level CEF):
Application documents all exchange students
Transcript of records:
*
English language certificate:
Motivation letter:
*
Copy passport or ID card:
*
Photo:
*
Course selection form RUG
(Only Word format!):
*
Study Skills Overview:
*
Additional application documents for Erasmus+ students
Learning agreement
(Only for Erasmus students!):
If applicable
Certificate other languages:
BA certificate:
After submitting this form, you should receive an automatically generated e-mail.
*
=
Input is required
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e.g. mother, father, friend
e.g. NL Groning 01
Only required if your mother tongue is not English
As provided by the University of Groningen.
As provided by the University of Groningen.
Only if applicable
Only if applicable