information on the university - PWSZ im. Witelona w Legnicy
information on the university - PWSZ im. Witelona w Legnicy
information on the university - PWSZ im. Witelona w Legnicy
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The Witel<strong>on</strong> University of Applied Sciences in Legnica – Informati<strong>on</strong> <strong>on</strong> <strong>the</strong> University<br />
Name of student: .................................................................................................................................................................<br />
Sending instituti<strong>on</strong>: ……………………………………………………………………………………….........................<br />
Country: …………………………………………………………………………………………………….......................<br />
Briefly state <strong>the</strong> reas<strong>on</strong>s why you wish to study abroad ?<br />
..............................................................................................................................................................................................<br />
..............................................................................................................................................................................................<br />
..............................................................................................................................................................................................<br />
……………………………………………………………………………………………………………..........................<br />
LANGUAGE COMPETENCE<br />
Mo<strong>the</strong>r t<strong>on</strong>gue: ................... Language of instructi<strong>on</strong> at home instituti<strong>on</strong> (if different): ....................................................<br />
O<strong>the</strong>r languages<br />
.............................<br />
............................<br />
............................<br />
I am currently studying<br />
this language<br />
I have sufficient<br />
knowledge to follow<br />
lectures<br />
I would have sufficient knowledge to<br />
follow lectures if I had some extra<br />
preparati<strong>on</strong><br />
yes no yes no yes no<br />
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WORK EXPERIENCE RELATED TO CURRENT STUDY (if relevant)<br />
Type of work experience<br />
............................................<br />
............................................<br />
PREVIOUS AND CURRENT STUDY<br />
Firm/organisati<strong>on</strong><br />
............................................<br />
............................................<br />
Dates<br />
...........................<br />
...........................<br />
Country<br />
......................................<br />
......................................<br />
Diploma/degree for which you are currently studying: ..................................................................................<br />
Number of higher educati<strong>on</strong> study years prior to departure abroad: ..............................................................<br />
Have you already been studying abroad ? Yes No <br />
If Yes, when ? at which instituti<strong>on</strong> ? .............................................................................................................<br />
The attached Transcript of records includes full details of previous and current higher educati<strong>on</strong> study. Details<br />
not known at <strong>the</strong> t<strong>im</strong>e of applicati<strong>on</strong> will provided be at a later stage.<br />
Do you wish to apply for a mobility grant to assist towards <strong>the</strong> additi<strong>on</strong>al costs of your study period abroad?<br />
Yes No <br />
RECEIVING INSTITUTION<br />
We hereby acknowledge receipt of <strong>the</strong> applicati<strong>on</strong>, <strong>the</strong> proposed learning agreement and <strong>the</strong> candidate’s Transcript of<br />
records.<br />
The above-menti<strong>on</strong>ed student is<br />
Departmental coordinator’s signature<br />
...........................................................................<br />
Date: ................................................................<br />
<br />
<br />
provisi<strong>on</strong>ally accepted at our instituti<strong>on</strong><br />
not accepted at our instituti<strong>on</strong><br />
Instituti<strong>on</strong>al coordinator’s signature<br />
......................................................................................<br />
Date :............................................................................<br />
Course Catalogue / ECTS Informati<strong>on</strong> Package 2011/2012 21