Application for Incomming staff / ERASMUS+

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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

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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

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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

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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

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Attachment 2

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Attachment 3

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I hereby authorize the University of Zielona Gora to process my personal data included in my application for the needs of the Erasmus+ Programme. I declare that all information is accurate and true.

Statement *

* required field

Application for Incomming staff

Application for Incoming Staff - partner countries only

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ATTENTION

Mobility type: *

Academic year: *

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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: *

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INFORMATION II

Seniority based on experience: *

Academic field: *

Sending Institution: *

Sending Department/Unit: *

Arrival Date (to Zielona Góra) *

Departure Date (from Zielona Góra): *

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ATTACHMENTS:

Attachment 1 - Mobility Agreement *

Attachment 2

Attachment 3

Statement *