f_Intercâmbio Internacional - Faculdade Luterana de Teologia

FLT ACADEMIC EXCHANGE, COOPERATION AND MOBILITY PROGRAM

STUDENT REGISTRATION FORM

Permanent Address

It will be used by FLT to send you important information

Emergency Contact: Name, Relationship and Telephone

IMPORTANT:
Below, the deadline for submission of this form and the required documentation.

1st Semester

1st Semester: 3 months in advance (end of November of the previous year)

2nd Semester

2nd Semester: 3 months in advance (end of April of the current year)

Along with this application form, the student is required to provide and to attach the following additional documents:

Personal statement

I – Personal statement indicating the reasons for choosing Brazil and FLT as an Exchange Program location

Passport

II – Scanned copy of Passport

Academic Transcripts

III – Official Academic Transcripts

Study Plan

IV – Study Plan, accompanied by a Statement by the Course Coordinator approving this Plan

Financial aid

V – If applicable, provide documentation regarding any financial aid, grants and/or scholarships

Medical Insurance

VI – Provide proof of Medical Insurance Coverage for International Travel along with information booklet describing benefits for the entire intended stay in the designated country and repatriation in case of serious illness, accident or death

Important:
Prior to his/her arrival to Brazil, it is the exchange student´s responsibility to apply for and obtain a student visa from the Brazilian consulate and to purchase an international medical insurance plan that provides coverage for the entire intended stay.

Signature

I confirm the accuracy of the information provided here.

By selecting the checkbox, you declare that the information provided is true and endorse it.