Personal Data

First Name *

Please fill out this mandatory field.

Last name *

Please fill out this mandatory field.

Sex *

male

female

other

Please fill out this mandatory field.

Date of birth *

Please fill out this mandatory field.
Please enter a date in the format DD.MM.YYYY

Place of birth *

Please fill out this mandatory field.

Nationality *

Please fill out this mandatory field.

Email *

Please fill out this mandatory field.

Please choose a valid e-mail address.

Verify address

Please fill out this mandatory field.

Your inputs do not match.

Phone *

The length should be between 1 and 100 characters.

Current Study details

Country of Home Institution *

Please fill out this mandatory field.

Home Institution *

Please fill out this mandatory field.

Home Institution (if not listed above)

Study progamme at home institution *

Please fill out this mandatory field.

Year of study *

Please fill out this mandatory field.

Please choose a value with a precision equal or less than 2 digits.

Please use the right decimal point separator (.).

Language competence

Application details

Country of Host Institution

Host Institution

Type of person *

Students

Teachers

Please fill out this mandatory field.

Type of application *

Incoming

Outgoing

Please fill out this mandatory field.

Exchange Programme *

Please fill out this mandatory field.

Calendar Year *

Please fill out this mandatory field.

Desired stay from *

Start dates only possible on Mondays

Please fill out this mandatory field.
Please enter a date in the format DD.MM.YYYY

Desired stay until *

Duration of stay: always 4 weeks

Please fill out this mandatory field.
Please enter a date in the format DD.MM.YYYY

Subject Preferences

A list of all university hospitals can be found here. However, please pay attention that the following departments require German skills of at least B1: Dermatology, Internal Medicine (Cardiology), Pediatric Surgery, Pediatrics, Neurology, Psychiatry.

Other departments have special restrictions or are generally not availible. Since many departments are already booked out far in advance, please indicate at least three departments you would like to visit.

Elective subject - Preference 1 *

Please fill out this mandatory field.

Elective subject - Preference 2 *

Please fill out this mandatory field.

Elective subject - Preference 3 *

Please fill out this mandatory field.

Emergency contact

Please provide the contact information of a person who can be notified in case of emergency.

First Name *

Please fill out this mandatory field.

Last Name *

Please fill out this mandatory field.

Email of contact person *

The length should be between 1 and 100 characters.

Phone of contact person *

Please fill out this mandatory field.

Confirmation by the student

I agree that all personal data submitted during the application process will be automatically stored, processed and used by the Medical University of Innsbruck for the purposes of program administration and evaluation. You can withdraw your consent at any time. *

Please fill out this mandatory field.

Additional comments on the application

Application for a student exchange

Personal Data

Current Study details

Language competence

Application details

Subject Preferences

Emergency contact

Confirmation by the student

Cancel application