Data concerning the application

Type of person *

Students

Teachers

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Type of application *

Incoming

Outgoing

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Exchange Programme *

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Academic Year *

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Semester *

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Duration of stay *

1 semester

2 semester

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Personal Data

Last name *

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First Name *

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Gender *

male

female

divers

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Date of birth *

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Nationality *

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Email address *

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Please choose a valid e-mail address.

Verify address

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Contact person in case of emergency

Last Name *

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First Name *

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Email address *

The length should be between 1 and 100 characters.

Telephone number *

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Current Study details

Country of Home Institution *

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Home Institution

Study progamme at home institution *

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Information on the planned stay

Country of Host Institution

Host Institution

Studyfield *

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Study level at the host university *

One cycle degree (Medicine)

Bachelor (First cycle)

Master (Second cycle)

PhD (Third Cycle)

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Language competence

German Language Course

I wish to participate in the German Course offered at MUI *

yes

no

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Disability

Do you have a disability and need special help? *

yes

no

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Confirmation by the student

I hereby confirm that all information on the application form is correct and complete. *

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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. *

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Application for a student exchange

Data concerning the application

Personal Data

Contact person in case of emergency

Current Study details

Information on the planned stay

Language competence

German Language Course

Disability

Confirmation by the student

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