APPLICATION FORM AND PERSONAL INFORMATION SHEET IF

Personal Details

Full name:

Street:

Zip Code, town:

Country:

Tel.:

Email:

Fax:

Nationality: Passport / IC:

Date of birth: Sex:

Full name of father:

(only necessary for Programmes in Greece)

Full name of mother:

(only necessary for Programmes in Greece)

Parents’ address

Street:

Zip Code, town:

Country:

Language Course

     2 Weeks: 4 Weeks:

     Country: City: Starting day: Ending day:

Work Experience / Internship

Professional field requested/ Internship sector:
Country: City: Starting day: Ending day:

Which School education/degree do you have?

Which vocational Training do you have?

In which professional field would you like to do the practical Training? (Please give examples.)

Which professional Experience do you have?

Have you been abroad for longer (exchange, practical Training etc.)?

Foreign Languages

You can communicate in

not at all

a little bit

mediocre/

above average

fluently

Portuguese

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English

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French

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Spanish

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Italian

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Greek

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German

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Expectations/Plans

Please describe what you expect from a Practical Training abroad.

What are your career plans after the Practical Training?

What wishes, hopes and fears do you have concerning this Practical Training? Why do you think, apart from your professional qualification, you fit into the Practical Training?

We need the following details for your stay abroad

Do you smoke? yes Error: Reference source not found no Error: Reference source not found

Are you vegetarian? yes Error: Reference source not found no Error: Reference source not found

Do you have a drivers licence? yes Error: Reference source not found no Error: Reference source not found

Are there any activities that you cannot perform due to a handicap (e.g. allergies etc.)?

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