ERASMUS 
Lifelong learning program
Application form
2013/2014
 PTE ÁOK VI. Years students may apply only!

Surname:…………………………………………………………………....................

First name:…………………………………………………………..……...................

Year:………………………………………………………………………....................

EHA code:.............................................................................................................

3 semesters average grade :................................................................................

The date and period of Erasmus stay:.................................................................

The names of the planned rotations (number of weeks):.....................................

Target Universities:
I.…………………………………………………………………..........
II…………………………………………………………………..........
III……………………………………………………………….............
IV....................................................................................................

Fluent language knowledge:……..…………………………………………..............

	Permanent Address:…………………………………………………………..............

Temporary Address:…………………………………………………………..............

Phone No.:………………………….………………………………………….............

E-mail address:…………………… ………………………………………….............

Do not forget to handle:
•	Application form (available from the Webpage)
•	a copy of any official language certificates – (a high school certificate is not an official language certificate)
•	Certification of the averages (last 3 semesters)
•	Professional CV (English, German language, depends on the host country) 
•	short, less than one page, motivation letter in English, German or the language of the host country
•	list of all published or in press scientific publications, letters from conferences, list of posters and results, acknowledgments, accolades, etc…
•	certificates or letters from any professional, social, cultural, sport activities.

Submit your application to Faculty Erasmus Office in person, preferably in an A4 plastic file folder (1st floor, to the right of the Mosaic).
More information:  erasmusoffice@aok.hu or anett.tomozer@aok.pte.hu  Phone: 72/536-358

Deadline: 20th March 2013 (Wednesday) 12.00

Erasmus Info Day at the Medical School: 21st February 2013, 9:00-14:00 at PTE-AOK Aula.