Required fields are indicated with *

PERSONAL INFORMATION
Given name(s)*

Family name(s)*

Date of birth (yyyy-mm-dd)*

Gender*
FemaleMalePrefer not to say

Citizenship*

Double citizenship

Country of residence*

Home address* (Street address, city, province, region, postal code, country)

Identity card or passport number (for Ukrainians residing in Lithuania with Lithuanian TRP - TRP number)*

Above indicated number is from:*
Identity cardPassportTRP

What is your time zone?*
Attention: just to be sure we are on the same page, before providing your answer, go to Google and write “My time zone” in the search field.
—Please choose an option—GMT-12GMT-11GMT-10GMT-9GMT-8GMT-7GMT-6GMT-5GMT-4GMT-3GMT-2GMT-1GMT 0GMT+1GMT+2GMT+3GMT+4GMT+5GMT+6GMT+7GMT+8GMT+9GMT+10GMT+11GMT+12

Phone number*

Email address*

STUDY FORM:
CONTACT (KAUNAS)CONTACT (VILNIUS)ONLINE

EDUCATIONAL BACKGROUND

Level of education:*—Please choose an option—BA studentMA studentPhD student

Official name of school / university / institution (in English)*

Country*

Programme name*

Study language*

Awarded qualification / degree*

(Expected) date of graduation (yyyy-mm-dd)*

LANGUAGE SKILLS

Native language*

Please evaluate your language level according to Common European Framework of Reference for Languages (A1, A2 – beginner, B1, B2 – intermediate, C1, C2 – advanced).

English language skills*
—Please choose an option—A1A2B1B2C1C2

Lithuanian language skills (if you have already attended the course, insert the last level you have completed or the level provided on any certificate you have)*
—Please choose an option—NoneA1A2B1B2C1C2

Do you apply for the Lithuanian language and culture course for the first time?*
YesNo

Do you formally or informally study Lithuanian language, history and culture as a subject at home institution?*
NoYes
If "Yes": please, specify:

What motivates you to participate in the Lithuanian Language and Culture Courses?*

ATTACHMENTS (max. 8MB)
Files must have different names.

1. One recommendation letter filled and signed by academic staff, tutor or employer*.

2. Official letter approving the status of a student, lecturer or researcher*.

3. Confirmation about formal or informal studies of Lithuanian language, history or culture (optional).

By clicking “Submit” you approve that:
1. all information in the application form is correct;
2. you are expressing written consent that your personal data therein will be managed by Vytautas Magnus University and Education Exchanges Support Foundation for evaluation and administration purposes in accordance with the Law of Personal Data Protection of the Republic of Lithuania and the EU General Data Protection Regulation (2016/679) of 27th of April, 2016, and not exceeding 10 years after the submission of the application. The duration may alter upon change of the law;
3. you are expressing written consent that in case of admission your personal data will be processed by Vytautas Magnus University;
4. you have reached an oral agreement with the contact persons whose contacts you added to your application to use their information for administration of this application.

I give my consent for having any pictures & videos of me shared on Vytautas Magnus University communication channels, in line with the General Data Protection Regulation*.
Yes

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