Application to the International Week at Instituto Politécnico de Portalegre
This form is to be used by academic and non-academic satff members from IPP partners who wish to apply for IPP. International Week - 13-17 May 2019

The data collected and provided on the form will be treated confidentially and only used for the purposes of this application.

Those directly interested are entitled to access the data provided on this form according to the Portuguese legislation.

INSTITUTIONAL DATA
Name of Home Institution *
Your answer
Erasmus Code of Home Institution *
Your answer
Name of Erasmus Coordinator at Home Institution *
Your answer
E-mail address of Erasmus Coordinator at Home Institution *
Your answer
STAFF PERSONAL DATA
Academic or Non-Academic?
Last Name/Surname(s) *
Your answer
First Name *
Your answer
Gender
E-mail address *
Your answer
PARTICIPATION DETAILS
IPP School you wish to visit for lectures or training
If you are an academic staff member, please tick your area(s) of work *
Required
If you are a non-academic staff member, please tell us about your area of work
Your answer
Please briefly describe what you plan to do during the International Week. If you are an academic staff member, please give some details of your intervention (number of hours, target students, etc.) *
Your answer
Expected Arrival Date *
Your answer
Expected Departure Date *
Your answer
PLEASE NOTE
This application is for organization and logistics of the IPP International Week purposes only. Participants have to deal with the mobility documents required by the type of mobility and by their home institution
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