Information to your Grant Agreement for the Erasmus+ ICM Learner grant

Personal details

First name

Last name

Date of birth

Gender

Nationality

Please state your nationality

Phone

Home address

Email address

Home university

Field of education

Number of completed years of study when you will start your mobility period

Level of education

Mobility Details

The start date of your mobility:

Semester exchanges:
Write Örebro University's official arrival day: 17/01/2027
Shorter exchanges:
Write the first day you have scheduled activities at Örebro University.

The end date of your mobility:

Semester exchanges:
Write the official last day of the semester: 06/06/2027
Shorter exchanges:
Write the last day you have scheduled activities at Örebro University.

Start date of your mobility

Last day of mobility

Erasmus grant

Have you previously participated in an Erasmus+ mobility at the same level of study (e.g. Bachelor or Master)? If yes, please indicate the total number of months you have already spent abroad through Erasmus+ at this level.

Example: If you are currently studying at Bachelor's level and you previously went on an Erasmus+ exchange during your Bachelor's studies, please specify how many months that exchange lasted.

I have previous received an Erasmus grant Yes No

Previous participation in Erasmus at the same level of study (months)

Students with long-term disabilities, including disabilities caused by physical or psychological illness.

Examples include chronic illnesses, dyslexia, deafness, blindness, mobility impairments, and neurodevelopmental disorders (such as ADHD, autism spectrum disorders, and Tourette syndrome). These are classified under the category of “disability”.

Students who fall under this category may be eligible for an additional financial support of €250 per month during their mobility period.*

Inclusion support for students with long-term disabilities

To receive extra financial support during your studies, please upload your medical certificate .

Information about your medical certificate I understand that my uploaded medical certificate will only be used for internal purposes and not shared with a third party.

Students with minor children

Students with minor children, regardless of whether the child accompanies them during the mobility period or not.

Students who fall under this category may be eligible for an additional financial support of €250 per month during their mobility period.*

Inclusion support for students with minor children

To receive extra financial support during your studies, please upload an official family certificate confirming your parenthood.

Information about your certificate confirming your parenthood I understand that my uploaded document will only be used for internal purposes and not shared with a third party.

Students who have been granted fee waivers, reduced tuition fees, or special scholarships due to their economic situation.

This applies to students who receive financial relief based on their economic status, from their home institution.

Please attach an official Certificate issued by the home institution staging the tuition waiver status of the student and its nature. The certificate must be in official stationery, stamped and signed by the Dean of the department.

Students who fall under this category may be eligible for an additional financial support of €250 per month during their mobility period.*

Inclusion support for students with fee waivers

Information about your certificate confirming financial relief I understand that my uploaded document will only be used for internal purposes and not shared with a third party.

To receive extra financial support during your studies, please upload an official certificate staging your tuition waiver status. The certificate must be in official stationery, stamped and signed by the Dean of the department.

* Please note: Students can only receive one top-up. For example, if a student qualifies both due to a disability and having minor children, they can only receive support for one reason. The maximum top-up is €250 per month.