INTERNATIONAL STUDENTS EXCHANGE PROGRAM 2017 - 2018 Campus Cordoba & Sevilla

We kindly request you to fill in this application form before 20th June (1st Semester & Annual students) 15th November (2nd Semester)

First Name:*
Family Name:*
Email:*
Name of HOME UNIVERSITY:*
COUNTRY of your home University:*
Are you coming from an European University?*
If yes, please indicate your Erasmus University Code:*
Coordinator at your University: *
Email of your coordinator: *
Period of exchange:*
CAMPUS. The offer of courses is different from one campus to another. Follow the indications from your Home University*
Main degree you are going to study at Loyola (Although you will be able to take courses from other disciplines and degrees)*
Please, indicate your ID card number:*
Please, indicate your Passport number:*
Please, indicate your Gender:*
Please, indicate your Birth Date (day-month-year):*
Please, indicate your Nationality:*
Please, indicate your Mobile Phone number:*
Do you have a health/medical insurance?*
Number of your insurance and name of the insurance company:*
What is your level of Spanish?*
Do you have a language certificate? *
If yes, what is your level?*
Please, upload a STANDARD FORMAL PHOTO WITH A WHITE BACKGROUND. (It must be the size of a standard identity card photo)*
Word Verification: