Søknadsskjema

Application for program

MD – Medical Doctor (6-year program in English) DDS – Doctor of Dental Surgery (5-year program in English)

Firstname

Lastname

Date of Birth

Citizenship

Place of birth – city

Place of birth – country

Address

City

Postal Code

Mobile phone (+ country code)

I hereby declare that I understand that if admitted to the School of Medicine in English, I am fully responsiblefor my own financial support

Personal Saving Scholarship or government support/loan ("Lånekassen" for Norwegian students) Private sponsor

By allowing data transfer to Kraków Municipal Communications Company (MPK, S.A.) your student-ID can be used as atravel pass. If you don’t consent at this point, you can activate the card at any time by visiting a MPK Point of Service.

I have read the information clause (appendix 2) and consent to have my data transferred to MPK, S.A. I do not consent

Students must have a valid health insurance in case of sickness or accidents in Poland. Proof of coverage is required.

I am covered by the Norwegian health care system - Folketrygden (Europeisk helsetrygdekort). I have private health insurance

Letter of Motivation in English - one PDF file consisting of all pages

High school transcripts in English - one PDF file consisting of all relevant documents

Copy of passport – one PDF file

Digital photo for student-ID - JPG or PNG format, minimum size 500 x 625 pixels

Additional documents - Multiple files