• The fields marked with a * are required.
    A application form for financial support is available after completing this step

  • Information about the applicant

  • Permanent address (as in passport)

  • Residencial address (if different)

  • Please, use international format, i.e. +33 1234 567
  • Please note :

    • If you are chosen for this offer, you are obliged to submit a report on your Placement experience to ASSITEJ International, the latest 2 weeks after your program has finished.
    • The relevant data and photos from your application as well as the report can be published for evaluation and promotional activities of the ASSITEJ Next Generation Placements Program.
    • You will be proposed to apply for financial support after submitting this form