Information form - European Internship Program

It is important for us to find the best internship offer in the field you choose. But we need to know more about you. Please fill in the following form to request detailed information about the program as well as application documents - without obligation and free of charge. You will receive all further information by email.

Fill-in Form

I. Personal Information
Title:	Mr. Ms.
Last Name:^*
First Name:^*
Middle Name:
Street, Apt. #:^*
Zip Code, City:^*
Country:
Age:^*
Phone:^*
E-mail:^*
Website (http://):
Field of Studies:
Diploma Obtained:	yes no
Special Projects or/and Work Experience:
Special Skills:

II. Information on your work experience preferences
1. Professional Field:
2. Duration of Internship:^*
Start Date: Duration in Weeks:
3. Preferred Region/Country:^*
4. I have a visa for this country.
5. Language Skills for Country of Destination?^*
Beginner Basic Good Working Advanced
6. Accommodation needed:^*	yes no
7. Information on Insurance needed:^*	yes no
8. Interested in Language Classes?:^*	yes no
9. Notes and Suggestions: