Erasmus International Week
Dear all, thank you for your application to our Erasmus International Week.

Deadline for applications: 15 / 12 / 2017
Answers: 15 / 01 / 2018

Full Name *
Your answer
First Name *
Your answer
E-mail *
Your answer
Home University *
Your answer
Your home faculty department *
Your answer
Address (street, city, zip code, country) *
Your answer
Contact person at your University *
Your answer
Your contact person at Les Facultés *
Your answer
Telephone (cell phone) *
Your answer
Identity Card Number *
Your answer
Date of birth *
MM
/
DD
/
YYYY
Nationality *
Your answer
Teaching languages *
Your answer
Topic of the proposed lecture *
Your answer
Brief description of the class and its duration (ex. 2h, 3h, 4h, 5h, 6h, 7h, 8h). Please feel free to propose as many classes as you wish *
Your answer
Knowledge pre-requisites for students & level of studies (post or under gradute) *
Your answer
Is the class a formal lecture or an interactive seminar or suitable size of the audience *
Your answer
Thank you very much for your application. We are looking forward to meeting you in Lille.
Your answer
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