Bewerbung um ein Stipendium für
Erasmus+International
Individual
Credit
Mobility
A p p l i c a t i o n f o r m Er asm u s + Grant with Partner Countries
Surname:
Forename(s):
Passport No:
Home Address Applicant:
Date of birth:
Sex:
Nationality:
Phone:
Home University-Faculty:
E-mail:
Staff Working Position home/: years of employment:
Students Matriculation number home:
Mobility type: undergraduate/master/doctoral PhD/
Duration of envisaged mobility from-to:
staff teaching/ staff training
Host university/field of studies/work at host university:
Home university field of study/subject:
Language proficiency:
Student: Number of completed higher education study years
German: A2, B1, B2, C1, C2
English: A2, B1, B2, C1, C2
Other Language Abilities:
Participation in language course at home? Language?
yes
no
Envisaged participation in language course at host?
yes
no
Applicant requests financial support from Erasmus+/EU funds: yes – no, duration of requested support
Applicant with a ZERO grant: yes - no
Applicant receives financial support other than Erasmus+/EU funds: yes-no
If yes specify (type, duration and amount of support):
Applicant has received earlier financial support from Erasmus+/EU funds:
yes-no, if –yes- specify (type, duration and amount of support) :
Previously received ERASMUS grant
If yes, in which study cycle?
Period of the previous
grant
none
Study
Bachelor
Master
from __ / __ / ____
Students: Averaged study results/
Durchschnittsnote:
Internship
PhD studies
till __ / __ / ____
Staff: teaching experience/working at university
□ <10 years □ 10-20 years □ >20 years
HU Application for Erasmus + International Grant –Mobility with Partner countries 2016-3
1
CHECKLIST
Attachments, please check if there are special requirements for the respective program

Application form


CV in Europass format

Copy passport or identity card

Staff: Mobility agreement

Students/staff: Proof of matriculation, staff member of home university

Students BA/MA: Transcript of records

Higher education certificates

Language certificate

Students BA/MA Learning Agreement (draft)

PhD Students: PhD Learning agreement – scientific project indicated,
https://europass.cedefop.europa.eu
Letter of motivation 1 – 2 pages/ specify relevance of the scheduled plan of work, studies
with averaged study results/ at HU AGNESAuszug vom Prüfungsamt mit aktueller Durchschnittsnote)
(i.e. B.A./ B.Sc.for MA studies, MA for PhD)
Plan of Work, Letter of support home supervisor, preferably letter of
support host supervisor

Additional documents, if requested by program
Remarks:
………………………………………………………………………………………………………
_______________________
Date
Application
Procedure :
___________________________________
Name / on paper copy signature applicant
Subject to modifications in the E+International Call Announcement for your university, all documents
should be submitted in one online application file per e-mail, to the local coordinator at your home
university, and if requested, additionally in a complete paper copy.
Reference on the e-mail submission:” >Name Partner University in Abbrevation-HU< <Year/Months of submission
<Call E+ww(worldwide)>Name applicant<” (i.e. Partneruniversity-HU, Call E+ww2016-2, name applicant)
This email may later be forwarded to the HU Erasmus+International Coordinator
[email protected]
Successful applicants selected for an E+International grant will be invited to upload these electronic
documents to the HU applicants portal for International students https://www.uni-exchange.eu via the
Programme line: Erasmus Partner Countries
HU Application for Erasmus + International Grant –Mobility with Partner countries 2016-3
2