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Mobility Report: student report




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Mobility Report: STUDENT REPORT



1. Basic Personal Data:


1.1 Personal Data


academic degree:

first name:

last name:

sex: □male □ female

date of birth:

citizenship:


1.2 Host country : please tick appropriate box:

multiple entries if necessary


 Germany  UK

 France  Spain


1.3 Period of Stay

from: (dd/mm/yy) ______to: (dd/mm/yy):______in: (host country):______________


2.1 Host Institution:


university:

faculty/institute:

country:


2.2 Activities: Lectures and Courses, Meetings

Please list the lectures/courses/meetings attended:

Note: You may add another sheet of paper


Type of Instruction

Topics discussed

Name of Instructor













































































































^ 2.3 Activities: Other types of instruction

please tick appropriate box, multiple entries are possible


I have participated in/attended:

 Laboratory work

 Practical training

 Worked on my thesis

 other activities:please specify: _________________________________________________


^ 2.5 Organizational details: please tick appropriate box


2.5.1: Preparation:

Did you encounter any difficulties while preparing for your period of studying abroad?


 no  yes

if yes, please specify: (keywords)


2.5.6 Accommodation: Preparation

Upon arrival at your host institution, how did you arrange for accommodation?

multiple entries possible

 accommodation was arranged by host institution

 checked local market with assistance of:_______________

 checked local market alone

 other arrangement:________________________________


2.5.7 Accommodation: Type

Which type of accommodation did you use: multiple entries possible


 student hostel  hotel

 youth hostel  private room

 private flat shared with other students  guest house

 private flat alone

 other type of accommodation: _______________

3. After your return:


3.1 Recognition please tick appropriate box

Did you have any difficulties in obtaining recognition of your period of studying abroad?


 no  yes


if yes, please specify:


^ 3.2. Knowledge of Languages please tick appropriate box

Was there any improvement in your language skills?

 yes  no

if yes, grade your skills - after your return:

(0 = not at all, I = basic, II= intermediate, III=fluent)


3.3 Possible Difficulties please tick appropriate box

Did you encounter any difficulties?

 no  yes


If yes, what were your biggest difficulties?


3.4 Possible improvements

If you have suggestions for improvement, please let us know:


3.7 Best memory

What is the best memory of your experience in project?


I agree to electronic processing of the data provided


Signature: _______________________________ Date:____________________


THANK YOU FOR YOUR COOPERATION!!!




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