/ VYTAUTAS MAGNUS UNIVERSITY
International Cooperation Department
K. Donelaičio g. 58, LT-44248 Kaunas, Lithuania
Tel. + 370 37 327 978; Fax + 370 37 327 989
E-mail:

APPLICATION FOR ADMISSION TO PART-TIME STUDIES

Application Deadline

Autumn semester: June 30th

Spring semester: November 30th

Please type or use block letters. Answer all questions fully and do not leave any questions unanswered. Application must be mailed to International Office by the set deadline (address is above).

Please
attach your photo.

1.  PERSONAL DATA

Last name / First name(s)
Date of Birth (Day/Month/Year) / Sex
1 Male 1 Female
Nationality / Marital Status
1 Single 1 Married
Citizenship

2.  MAILING ADDRESS

House and Street / E-mail
City
Postal code / Telephone
Country
Valid until (Day/Month/Year) / Fax

3. Contact person (in a case of emergency)

Name / Relationship to you
House and Street
City / E-mail
Postal code / Telephone
Country / Fax

4.  DIPLOMA / DEGREE FOR WICH YOU ARE APPLYING

1 Undergraduate / Bachelor

1 Graduate / Master

1 PhD / Doctoral

5.  FIELD OF STUDIES / FACULTY

1 Physical Sciences 1 Creative Arts & Design

1 Biomedical Sciences 1 Social Sciences

1 Humanities 1 Mathematics and Computer Sciences

6.  LENGH OF STUDIES

From to

Total (months)

7. FINANCIAL INFORMATION

Please, specify your funding resources for tuition and accommodation

1 Parents 1 Scholarship

1 Personal 1 Other

8. ACCOMMODATION

Please, indicate the type of living arrangement you prefer

1 Dormitory

1 I will arrange my own accommodation in Kaunas

9. DOCUMENTS TO BE SUBMITTED

Please, ensure that the application is complete and that it includes the following items:

1 A certificate from your home university, proving that you are enrolled as a regular (i.e. fee paying) student there

1 Transcript of records from your home institution

1 Any proof of English proficiency

1 Letter of motivation (300 – 500 words)

1 Copy of your passport or other document of identification

1 Copy of document showing paid application fee 50 EUR (where the name of the applicant and the date of payment are indicated)

1 Confirmation about the scholarship or bank statement

1 Accommodation form (if you prefer a dormitory)

Note: Application can be rejected if any of the required enclosures are missing.

I confirm that information I have provided in this application and in any attached document is true and correct.

Applicant’s signature ______Date ______

Application must be mailed to International Cooperation Department by the application deadline.

Address: Vytautas Magnus University, International Cooperation Department, K. Donelaičio g. 58, LT-44248 Kaunas, Lithuania