STUDENT MFS APPLICATION FORM

International Office

Academic Affairs and Student Support

Application for MFS

Please fill out the form digitally before printed and signed.

Applicant’s first name, Family name / Date of birth
Street address
Zip code (Sv: postnummer) / Postal address
Phone nr, daytime / Phone nr, home
E-mail address / Nationality
Next of kin (in case of emergency). Name, address and phone

Education

University / Studies initiated year
Study program (or subject) / Program length (points)
Expected year of graduation / Academic points (at time of application)
Program officer (Sv: Programansvarig) or other academic contact / Phone nr, work
E-mail address

Project

Project title
Host country / Host city and university (if applicable)
Supervisor at home university (title, first name, family name) / Phone nr, work
Supervisor’s E-mail address / Supervisor’s institution/school
Examiner at home university (title, first name, family name) / Phone nr, work
Examiner’s E-mail address / Examiner’s institution/school
Supervisor in host country (title, first name, family name) / Supervisor’s organization/university
Supervisor’s E-mail address / Phone nr, work
Supervisor’s street address
Supervisor’s zip code (Sv: postnummer) / Supervisor’s postal address and country

MFS

Prior MFS applications (If yes, the subject and institution and university and date)
Parallell MFS application sent to other institution for this project (If yes, the institution, university and date)
Fellow applicant (If project is conducted with other student that also applying for MFS)
Other scholarships, grants or funds applied for

If official language in host country is French, Spanish or Portuguese

Note: Documents verifying language skills must be enclosed in the application.

Skills on academic level (language, university) / Academic points, level
X
Skills on high school level (language, school) / Points, level, grade

Relevant travel experiences (business, education, pleasure etc. and duration)

Relevant commitments (NGOs, volunteering, special interests)

Describe your commitment and interest to this project and why you should be granted MFS in maximum 200 words

______

Place and date Signature

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