Application for Incomming staff / ERASMUS+

Page 1/4

ATTENTION

When completing the application for the STA/STT trip, please attach any documents, letters and descriptions that will confirm the information provided in the application. The evaluation committee relies only on the data submitted in this Application for Incoming Staff. All fields marked * must be completed. If a field does not apply to a given trip, please enter NOT APPLICABLE. You can only submit your application once. If you make an error in the form or want to resend the form, please contact Joanna Socha - J.Socha@dwz.uz.zgora.pl or Paweł Truszkiewicz, PhD - P.Truszkiewicz@dwz.uz.zgora.pl.

Mobility type: *

Academic year: *

* required field

Page 2/4

INFORMATION I

Candidate details and address

Name: *

Surname: *

Place of birth: *

Date of birth: *

Street, number: *

City: *

Post code: *

Region: *

Country: *

Phone: *

E-mail: *

Passport/ID number: *

Valid till: *

* required field

Page 3/4

INFORMATION II

Employment and competences

Seniority based on experience: *

Academic field: *

Sending Institution: *

Sending Department/Unit: *

Arrival Date (to Zielona Góra) *

Departure Date (from Zielona Góra): *

* required field

Page 4/4

ATTACHMENTS:

Attachments: The application must be accompanied by all attachments required by the regulations (e.g. approved individual teaching program in PDF format, certificates, statements, etc.).

Attachment 1 - Mobility Agreement *

Attachment 1 - Mobility Agreement

select file

Your browser does not support HTML5 technology.

Attachment 2

select file

Your browser does not support HTML5 technology.

Attachment 3

select file

Your browser does not support HTML5 technology.

I declare that the information contained in the application form is true. I declare that I have read the Erasmus+ Programme Implementation Rules published on the website http://www.erasmus.uz.zgora.pl and meet the recruitment criteria for staff mobility. I declare that I consent to the processing of my personal data for the purposes of implementing the Erasmus+ Programme in accordance with Regulation (EU) 2016/679 of the European Parliament and of the Council of 27 April 2016 on the protection of natural persons with regard to the processing of personal data and on the free movement of such data, and repealing Directive 95/46/EC (General Data Protection Regulation) and the Act of 29 August 1997 on the Protection of Personal Data (Journal of Laws 1997 No. 133 item 883, as amended). I declare that I have obtained the consent of my direct superior to apply for participation in the Programme.

Statement *

* required field

Application for Incomming staff

Application for Incoming Staff - partner countries only

Page 1/4

ATTENTION

Mobility type: *

Academic year: *

Page 2/4

INFORMATION I

Name: *

Surname: *

Place of birth: *

Date of birth: *

Street, number: *

City: *

Post code: *

Region: *

Country: *

Phone: *

E-mail: *

Passport/ID number: *

Valid till: *

Page 3/4

INFORMATION II

Seniority based on experience: *

Academic field: *

Sending Institution: *

Sending Department/Unit: *

Arrival Date (to Zielona Góra) *

Departure Date (from Zielona Góra): *

Page 4/4

ATTACHMENTS:

Attachment 1 - Mobility Agreement *

Attachment 2

Attachment 3

Statement *