Erasmus+ students

Required fields are indicated with *
CHOOSE COURSE*
Vilnius (04-01-2020 – 02-02-2020)
PERSONAL INFORMATION
Given name(s)*

Family name(s)*

Date of birth (yyyy-mm-dd)*

Gender*
FemaleMalePrefer not to say

Citizenship*

Double citizenship

Country of residence*

Home address*

Phone number*

Email address*

EDUCATIONAL BACKGROUND

Level of education:*—Please choose an option—BA studentMA studentPhD student

Official name of school / university / institution*

Country*

Programme name*

Study language*

Awarded qualification / degree*

Expected date of graduation (yyyy-mm-dd)*

LANGUAGE SKILLS

Native language*

Please evaluate your language level according to Common European Framework of Reference for Languages (A1, A2 – beginner, B1, B2 – intermediate, C1, C2 – advanced).

English language skills*
—Please choose an option—A1A2B1B2C1C2

Lithuanian language skills*
—Please choose an option—NoneA1A2B1B2C1C2

Do you apply for the language and culture courses for the first time?*
NoYes

Do you formally or informally study Lithuanian language, history and culture as a subject at home institution?*
NoYes
If "Yes": please, specify:

What motivates you to participate in Lithuanian Language and Culture Winter Course?*

ATTACHMENTS (max. 10MB)

Erasmus+ form signed by home institution coordinator.*

By clicking “Submit” you certify that:
1. All information in the application forms that will be submitted by you is true;
2. By submitting the application you are expressing written consent that your personal data therein will be managed by Vytautas Magnus University and Švietimo mainų paramos fondas (Education Exchanges Support Foundation) for evaluation and administration purposes in accordance with the Law of Personal Data Protection of the Republic of Lithuania and the EU General Data Protection Regulation (2016/679) of 27th of April, 2016, and not exceeding 10 years after the submission of the application. The duration may alter upon change of the law;
3. By submitting the application you are expressing written consent that in case of acceptance your personal data will be processed by Vytautas Magnus University.
4. You have reached an oral agreement with the contact persons whose contacts you add to your applications to use their information for administration of this application.

I give my consent for having any pictures & videos of me shared on Vytautas Magnus University communications channels, in line with the General Data Protection Regulation*.
YesNo