9th ISTW Application Form
Name & Surname *
Nationality *
Home University *
Erasmus+ Code (if possible)
Department / Faculty *
Postion at the University *
E-mail *
Phone number *
Are you coming under Erasmus+ financial support? *
Title of the presentation or lecture for students (optional)
Participation in the workshops *
Required
Welcome dinner in Kazamaty Restaurant (Monday 18.05.2019) - paid by participant *
Evening Cultural programme with reception - free of charge *
Trip to Wrocław - paid 85 Euro *
Arrival date *
MM
/
DD
/
YYYY
Departure date *
MM
/
DD
/
YYYY
Special needs / requests
Comments / ideas to share
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy