Instituto Politécnico de Santarém
 www.ipsantarem.pt		   Escola Superior de Gestão e Tecnologia de Santarém
www.esgt.ipsantarem.pt

ACADEMIC YEAR 2018/2019 STUDENT APPLICATION FORM

Erasmus+ Course

 HOME INSTITUTION (Name):  

 ADDRESS:   

 ERASMUS COORDINATOR HOME INSTITUTION:

    Name:  

    Tel:          E-Mail:     

1. PERSONAL DETAILS:

Family Name:  First Name(s):

Place of birth:

 Date of birth:
Gender:  Nationality:
Home Address: 
Tel:  E-Mail: 
Contact Person in Case of Emergency:

Name: 

Tel: 

E-Mail: 

2. EDUCATIONAL BACKGROUND:

Higher Education:

Name of Institution:

Degree:

 Year:

3. ERASMUS COURSE:

Unit Contact
Hours		 ECTS

Choose
(Mark the Box)
Fall Semester

Spring Semester
01. Contemporary Social Problems 45 5
02. International Trade 45 5  
03. Organizational Behavior 45 5
04. Strategic Management 45 5  
05. Portuguese Language 45 5
06. E-Business 45 5  
07. Human Resources Management 45 5  
08. Marketing Planning 45 5  
09. Cross-Cultural Models in Accounting and Finance 45 5
10. Financial Accounting and Reporting 45 5
11. Financial Management 45 5
12. Management Control 45 5
13. E-Learning Practices 45 5
14. Information and Communication Technologies in Educational Context 45 5
15. Intro to Mobile Apps Development 45 5  
16. Intro to Web Development 45 5  
17. Introduction to Intellectual Property Protection I.P. Law and Computer Science 45 5  

4. FOR ADMINISTRATIVE PURPOSES PLEASE DOWNLOAD THE WORD FILE (Application Form) FILL IT, AND SEND IT TO teresa.ferreira@esg.ipsantarem.pt

5. YOUR REASON(S) FOR STUDYING AT SANTARÉM

6. WHAT ARE YOUR GOALS FOR YOUR ACADEMIC STUDIES AT ESCOLA SUPERIOR DE GESTÃO E TECNOLOGIA DE SANTARÉM:
(Optional)

7. ADDITIONAL INFORMATION
 (Additional space provided if there are details which you believe to be relevant to your application, and which are not provided for under the above items, please fill in here. )

8. ALL INFORMATION PROVIDED IN THIS APPLICATION, IS TO THE BEST OF MY KNOWLEDGE, CORRECT. I AM AWARE THAT PROVIDING  INCORRECT INFORMATION IN THIS APPLICATION MAY RESULT IN DISQUALIFICATION OF MY APPLICATION.

Do you agree ?   (Fill with 'Yes')