Application for a student exchange
All fields marked with (*) must be completed.
Application details
Type of application
 *
Type of person
 *
Exchange program
Personal details
Last name *
First name *
Maiden name
Place of birth *
Birth nationality *
Date of birth *
Nationality *
Mother tongue *
Kommunikationssprache im Bewerbunsgprozess *
Gender
 *

e-mail address *
To this e -mail address you will get any information about the scholarship program . Please reserve enough space and let us know when you have no longer access to the specified e- mail address.
Same e-mail address for verification *
Person to contact in case of emergency
Last name
First name
e-mail address
Telephone number
Studies at the home university
Country of the home institution *
Name of home institution
Subject code
Please select a code that corresponds with your subject.
Study field
Aspired study degree


 *
Teaching language *

Last name of the Institutional Coordinator *
First name of the Institutional Coordinator *
e-mail address (Institutional Coordinator) *

Last name of the Departmental Coordinator *
First name of the Departmental Coordinator *
e-mail address (Departmental Coordinator) *
Planned studies at the Ilmenau University of Technology
Country of host institution *
Consortium
Host institution
Departmental contact person *
Academic year *
Start semester
Start date
- for the winter semester (WS): 01st October
- for the summer semester (SS): 01st April
Please select your start semester according to your planned internship starts.
Planned internship period from: *
Planned internship period until: *
Language competence
Language competence German
 *
Language competence English
 *
Are you interested in a preparatory language course at the TU Ilmenau?
Declaration of consent
I certify that all given information in the application form is correct and complete.  *
Hiermit bestätige ich, dass ich mit der Erklärung zum Datenschutz einverstanden bin.
Mir ist bewusst, dass falsche Angaben in den Bewerbungsunterlagen oder Fälschungen der Dokumente ggf. zum Widerruf der Einladung für das Teilstudium führen.
Klicken Sie HIER, um die Erklärung zum Datenschutz herunterzuladen.
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