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International application form

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Application form for exchange and double degree students

Formulaire de candidature pour les etudiants en programme d’echange ou de double diplomation

Gender / Genre :
Postal address / adresse postale :

Mobility program / programme de mobilité :
Skills in French language / compétences en français :
Skills in English language / compétences en anglais :

Department you would like to join at Polytech Orléans / Spécialité que vous souhaitez intégrer à Polytech Orléans :
Level of studies from which you selected the courses to attend / année d'études dans laquelle vous souhaitez être inscrit.e selon vos choix de cours :
Duration of stay / durée du séjour :
Do you wish to attend French classes? (65€ per semester) / Souhaitez-vous suivre les cours de français enseignés à l'Institut de Français ? (65€ par semestre) :


Upload requirements
Upload requirements
Upload requirements
Upload requirements
Upload requirements

By ticking this box, you consent to the processing of the personal data provided in this form in order to evaluate your profile.

Only members of the international program recruitment committee will be addressee of this information, which is limited to what is strictly necessary to evaluate your profile, purpose determined, explicit and legitimate that prevents any incompatible further processing.

Your personal data will be kept securely and will only be accessible by the operational services during the time necessary to fulfill the purpose of the collection, 6 months.In accordance with European Regulation 2016-679-EU of April 27, 2016 and Law No. 78-17 of January 6, 1978, you have the right to withdraw your consent.

On the same grounds, you have a right of access, rectification, and in case of legitimate reasons for deletion, limitation and opposition to the processing of your data. You also have the right to portability of your data. You can exercise these rights by sending an email to:

For the application of these rights or for any question relating to data processing, you can contact the Data Protection Officer at the University of Orléans: In addition, you can, if necessary, file a complaint with the National Commission for Data Processing and Freedoms (CNIL).