Application form

APPLICATION FOR ADMISSION TO UTENOS KOLEGIJA

Study program
Personal information

Personal information

Surname:

Name:

Date of birth:

Place of birth:

Citizenship:

Phone number (with country code):

E-mail:

Sex:

Male

Female

Not indicated

Study programs

I choose the study program and form in the following order. The selected preferences are numbered in the priority column from the most important (1) to the least important (5).

Priority No.	Study program	Full-time studies	Part-time studies
FACULTY OF BUSINESS AND TECHNOLOGIES
	Law* (study language: English)
	Business Management and Innovations (study language: English)
	Tourism Services Management (study language: English)
FACULTY OF MEDICINE
	Cosmetology* (study language: English)
	Social work* (study language: English)

* Applicants are admitted only for a higher course, provided that the results of studies at a higher education institution in a foreign country are submitted, and that the College has signed an inter-institutional cooperation agreement.

Permanent address

Address:

Postal code:

City:

Country:

Valid till:

Temporary address (if different from permanent)

Address:

Postal code:

City:

Country:

Person to contact in case of unforeseen circumstances

Name:

Surname:

Address:

Postal code:

City:

Country:

Phone number (with country code):

E-mail:

Education

Education acquired:

Start of the studies:

End of the studies:

School type:

Passport information (for non-EU citizens)

Passport No.:

Date of issue:

Expiration date:

Place of issue:

Accommodation

Do you need accommodation in the Utena College student dormitory?

Yes

Attached documents

Copies of documents confirming at least secondary education (certificate, diploma, their supplements, appendices) in the original language

Notarized copies of the higher education diploma with supplement or appendix or transcript from the higher education institution where the student studied (if applicable)

Copies of personal identification documents

Document(s) certifying the change of name and/or surname, if the educational documents were issued under a different name and/or surname

A copy of the receipt for the paid entrance fee of EUR 100

A document confirming the level of proficiency in English (not applicable if this language is native)

I guarantee that the data provided is correct, I am familiar with the Rules for the Admission of Foreign Citizens to Non-State-Funded Places in Utenos Kolegija Study Programs in a Foreign Language, and I agree to the processing of my personal documents, as well as the procedures for admission to study.