Application for an Erasmus exchange
All fields marked with (*) must be completed.
Application details
Type of person
 *
Type of application
 *
Exchange program *
Academic Year *
Start Semester at the Host Institution *
Number of Semesters at the Host Institution
 *
Personal details
Gender
 *
Surname (as shown in passport) *
Please ensure names, etc. are correctly capitalized!
First Name(s) (as shown in passport) *
First name by which you are known *
Not a nickname, rather the name you commonly go by
Date of Birth (dd.mm.yyyy) *
Country of Birth *
Nationality *
As shown in passport
2nd Nationality (if applicable)

RHRK E-Mail Address *
Please note: We will only contact you via the RHRK E-mail address
Please check your RHRK E-Mail on a regular basis!
Same e-mail address for verification *
Private E-Mail Address
Emergency Contact Person
First name of contact person *
Last name of contact person *
Relationship *
Telephone Number of contact person *
E-mail address of contact person *
Study details
Country of home institution
Home Institution
Matriculation number *
Are you participating through a faculty other than your own?
 *

Field of Study *
Please enter your field of study
Programme *
Study level *
Bitte geben Sie das Studienniveau des geplanten Aufenthalts ein
Number of Credits earned at the Home Institution (at the time of application) *
Diploma students: please enter '0'
Years of study completed (up to time of departure) *
Wenn bereits im Master, bitte noch die Bachelorstudienjahre dazuzählen.
Would you like to apply for a Grant for students with disability?
 *
Are you a single parent bringing your child(ren) with you abroad?
 *
Language skills
Mother tongue *
1st Foreign Language *
2nd Foreign Language
3rd Foreign Language
Stay details
Country of host institution (first choice) *
Host institution (first choice) *
Start Date *
End Date *
Working/Teaching Language *
Proof of Language Knowledge?

Country of host institution (second choice)
Host institution (second choice)
Stay from (second choice)
Stay until (second choice)
Working/Teaching Language
Proof of Language Knowledge?

Country of host institution (third choice)
Host institution (third choice)
Stay from (third choice)
Stay until (third choice)
Working/Teaching Language
Proof of Language Knowledge?

Country of host institution (fourth choice)
Host institution (fourth choice)
Stay from (fourth choice)
Stay until (fourth choice)
Working/Teaching Language
Proof of Language Knowledge?

Country of host institution (fifth choice)
Host institution (fifth choice)
Stay from (fifth choice)
Stay until (fifth choice)
Working/Teaching Language
Proof of Language Knowledge?
Erasmus-Förderung
Have you received Erasmus funding in your current study cycle (e.g., Bachelor) in the past?
 *
Would you like to receive Erasmus funding?
 *
Have you applied for any other scholarships for your planned exchange period?
 *
Declaration of consent
I have completed the data to the best of my knowledge. Should there be changes to the given data, I am obliged to inform my home university via the Department of International Affairs: ISGS as soon as possible.  *
I am aware that my data is subject to data protection and will be treated in a confidential manner. The given information are critical for the realisation of the exchange programme and serve as a source for the database "Mobility Tool" of the European Commission.  *
I agree that, in the event that I receive a place at a host institution, my data including first name, last name, e-mail (RHRK), host country, and host institution may be shared with other Erasmus students who will go abroad in the same semester.
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