1. Personal and contact information

1.1. Your city*
Choose city Lviv

1.2. Name*

1.3. Surname*

1.4. Gender*
Female Male

1.6. Mobile number*

1.7. Email*

1.8. Do you have valid international passport?*
Yes No

2. Education

2.1. Name of university*

2.2. Speciality*

2.3. Year of study*
Year 1 2 3 4 5 6 graduate

3. Skills and knowledge

3.1. Knowledge of languages
   select basic average good excellent *
   basic average good excellent
   basic average good excellent
   basic average good excellent

3.2. Skills
   select basic average good excellent *
   select basic average good excellent *
   select basic average good excellent *
   select basic average good excellent *
   select basic average good excellent *

4. Experience
Describe briefly yours previous experience (for example, work at company, students or voluntary organizations, internships and others)

5. Preferences

5.1. In which country would you like to go on internship?*
India    Russia     Poland   Turkey  

5.2 When are you ready to go on internship?*
May-June   Please, write approximate date when you can go

July-August   Please, write approximate date when you can go

Other

Thank you for filling in application form!