Request for Exchange Programme
Dear student,

Palacký University joins in expressing solidarity with the people of Ukraine, with Ukrainian universities, and their students and employees.
Currently, we are offering an exchange scheme for university students affected by the war in Ukraine. We understand that given the current circumstances, you might not have all needed documents.

Please fill in the following questionnaire and we will get back to you soon.

International Relations Office at Palacky University is available to reach via email at iro@upol.cz.
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Name
Surname
Date of birth
MM
/
DD
/
YYYY
E-mail
Telephone contact
Home address (in home country)
Current address in the Czech Republic (if you do not have one, write none)
University in home country
Webpage of the university
Area of studies at home university (ect. history, genetic engineering, developement studies)
Level of studies
Clear selection
Year of studies
I have access to transcript of records, or list of subjects I have studied, or any supporting documents testifying my studies
Clear selection
I would like to apply to be become a full Palacky University student and sign up for entrance exam when possible
Clear selection
I need accommodation at the dormitories
Clear selection
I request accommodation for
Clear selection
Do you have a visa and health insurance registration in the Czech Republic
Clear selection
Submit
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