APPLICATION FORM ALLIANCE SUMMER PROGRAMS 2018 APPLICATION FORM ALLIANCE SUMMER PROGRAM 2018 | Página 3

MEMBER INSTITUTION’S APPROVAL
NAME OF THE HOME UNIVERSITY
NAME OF YOUR COORDINATOR
E-MAIL
TELEPHONE
We approve and support this application. We confirm that the applicant has the academic and
linguistic skills necessary for this exchange program.
Place & Date: Place & Date:
Name of the International Coordinator: Name of the Student:
INSURANCES INCLUDED
Signature (with stamp of home institution):
Student Signature:
INSURANCE INCLUDED

Civil Responsibility Insurance (Liability insurance)
Insurance covering all accidents and injuries you may cause to a third party during your stay. It is
mandatory.
 Student’s Social Security (for Non-European Students)
The student's Social Security is mandatory for all students in higher education less than 28 years.
The national insurance will take in charge a part of your medical expenses, if you have any, once
in France.
 Assurance Habitation - Multi-Risk Housing Insurance
Housing multi-risk insurance is compulsory for staying in the student residence.
PRIVATE INTERNATIONAL INSURANCE
not included
You must have a private international insurance covering medical needs in complementary of the
French national insurance. This policy must cover your medical costs, hospitalization, and
eventual repatriation. You must provide proof of this insurance with your application form.