Application form Erasmus+

Please fill in the application form below to apply for the Erasmus+ programme of Driestar Chrisitan University for Teacher Education.

Family name

First name(s)

Gender

Male Female

Date of birth

Place of birth

Passport number

Nationality

Religion

Study/profession

Year

How many years into this study/profession are you?

Mother tongue

Language of intruction at home intstitution

Current address

City/town

Postal code

Country

Phone number

Mobile phone number

E-mail address

Permanent address

Name of contact person in case of emergency

Address of that person

City/town

Postal code

Country

Phone number

E-mail address

Your relationship with this person

Diploma/degree or your current study

Number of years you have studied higher education prior to departure abroad

Have you studied abroad before?

Yes No

Level of English

What contribution will you make to this programme?

What do you hope to learn by participating in this programme?

In what way does your (christian) belief affect your teaching practice?

Why would you like to participate in this programme?

In which aspects of education are you interested?

Name of sending institute, university or sponsor

Contact person

Function

Address

City/town

Postal code

Phone number

E-mail address

Erasmus code

Contact person International Office (in case of exchange with your university)

Phone number

E-mail address

A clearly readable copy of passport/ID-card

Select file

A motivation letter and Curriculum Vitae

Select file

A digital photograph

Select file

Your question or remark

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+31(0)182-540333

Workdays from 8:00 till 17:00 (GMT+1)

internationaloffice@driestar-christian-university.com

Response as soon as possible