APPLICANT’S DETAILS	
Surname 

(as indicated in Passport or Identity card)	First name:

(as indicated in Passport or Identity card)	
Date of birth: (dd/mm/yyyy)	Place and Country of birth:	
Nationality:	Gender: (M/F)	
Home Address: 
(please indicate your full address: Address, Town, Post/Zip Code)		
Document: (passport or ID card)	ID card or passport number 
Date of Expiry	
Telephone Number:
Mobile Number:	E-mail Address:	
Do you require Disability or Learning Support?     	Yes ☐     No ☐	

HOME UNIVERSITY	
Title of your current degree programme:		
Number of years of higher education (University) study completed to date (Which year of your current course programme are you enrolled at?) 		

HOST INSTITUTION	
Host University Name:		
Title of the degree programme of the host institution:		
Duration of stay (n° of months):		
Please specify:
	☐	Autumn term (from September 20……)
☐	Spring term (from January 20 …..)
☐	…………………………….	

PRIOR EXPERIENCE UNDER LLP-Erasmus Programme AND/OR Erasmus Mundus Programme AND/OR Erasmus+	
Do you have any prior experience under LLP-Erasmus/Erasmus+ programme (mobility for study and/or mobility for traineeship)?	Yes ☐     No ☐
	
If yes, please specify:
	Type of mobility:
Cycle of study (1st cycle/1st level/undergraduate; 2nd cycle/2nd level/Master; 3rd cycle/3rd level/PhD):
Dates:	
Do you have any prior experience under Erasmus Mundus programme?	Yes ☐     No ☐
	
If yes, please specify:
	Type of mobility:
Cycle of study (1st cycle/1st level/undergraduate; 2nd cycle/2nd level/Master; 3rd cycle/3rd level/PhD):
Dates:	

Compulsory attachments:

Bachelor Students must provide the following documents:

	Application form;
	Copy of a valid passport (or ID, if the passport is not available);
	Copy of certificate of enrolment at Ca’ Foscari University of Venice;
	Copy of the transcripts of records, indicating university grades/marks;
	Copy of official language certifications (or self-certifications of language qualifications, if applicable);
	Proposed Learning agreement signed by the applicant and at least by Ca’ Foscari academic coordinator (check annex I to find the person in charge of signing the Learning agreement);
	Curriculum Vitae (max 2 pages) in English including extra-curricular activities and professional experience related to the fields of the mobility. Please use only the European template on https://europass.cedefop.europa.eu/en/documents/curriculum-vitae/templates-instructions.iehtml;
	Motivation letter (max 2 pages) explaining the background of the candidate and the reasons for applying to the programme;

Master Students must provide the following documents:

	Application form;
	Copy of a valid passport (or ID, if the passport is not available);
	Copy of certificate of enrolment at Ca’ Foscari University of Venice;
	Copy of the transcripts of records, indicating university grades/marks for accomplished first-cycle degree and second-cycle if available;
	Copy of official language certifications (or self-certifications of language qualifications, if applicable);
	Proposed Learning agreement signed by the applicant and at least by Ca’ Foscari academic coordinator (check annex I to find the person in charge of signing the Learning agreement);
	Curriculum Vitae (max 2 pages) in English including extra-curricular activities (courses, seminars, conferences, etc.) and professional experience related to the fields of the mobility. Please use only the European template on https://europass.cedefop.europa.eu/en/documents/curriculum-vitae/templates-instructions.iehtml;
	Motivation letter (max 2 pages) explaining the background of the candidate and the reasons for applying to the programme;

Ph.D. students must provide the following documents:

	Application form;
	Copy of a valid passport (or ID, if the passport is not available);
	Copy of certificate of enrolment in a PhD programme at  Ca’ Foscari University of Venice;
	Copy of the transcripts of records, indicating university grades/marks for accomplished first and second-cycle degree studes;
	Copy of official language certifications (or self-certifications of language qualifications, if applicable);
	Proposed Mobility Programme signed by the applicant and the Erasmus+ Academic Coordinator of the sending institution; 
	Letter of interest by the prospective academic supervisor/Head of Department at the host university stating the availability and willingness to supervise the applicant. For further information please contact the administrative Erasmus + local unit in the Host University (see Annex I) and provide: CV and Mobility Programme;
	Curriculum Vitae (max 2 pages) in English including extra-curricular activities (courses, seminars, conferences, published research, etc.) and professional experience related to the fields of knowledge of the course. Please use only the European template on https://europass.cedefop.europa.eu/en/documents/curriculum-vitae/templates-instructions.iehtml;
	Motivation letter (max 2 pages) explaining the background of the candidate and the reasons for applying to the programme;
	Recommendation letters and other supporting documents in English, for example: honours, awards, internship/work certificates.

OPTIONAL DOCUMENT
	Proof of socio-economic disadvantaged background (ISEEU - Equivalent Financial Indicator Index) if available at the moment of application	

SIGNATURE OF APPLICANT	
I confirm that the information provided on this application form is correct.	
Signature: 

	Place and Date: