Registration for Demonstrator Activity at the University of Pécs Medical School
Please fill in the form in every semester of your demonstrator activity and send it back by clicking the button "send" at the bottom of page. Please let your tutor verify your registration by sending her/him the e-mail below.
If you renew your registration in a new semester with completely unchanged data, you should only fill in your name, e-mail address and at the last point (Remarks) please enter "Unchanged demonstrator activity".
Your personal data are kept secure and we use them exclusively for documentation purposes and for the communication with you according to your preferences.
If you would like to correct your data after sending, please send another form with your name, e-mail address, otherwise fill in only the corrected information and put the remark "Correction" at the last point.
Andrea Tamás, M.D., Ph.D., e-mail: andreatamassz@gmail.com
László Czopf M.D., Ph.D., e-mail: laszlo.czopf@aok.pte.hu
Please copy the text below, and send it in an e-mail to your tutor after you completed this registration
Dear Tutor,
Please verify my registration at the Circle of Demonstrators (DDK) using the following link:
https://goo.gl/forms/bjB6orlPHiGeUmWo2
Sincerely,
Last name ("family name") *
Your answer
First name(s) ("given name"), middle name(s), middle initial(s) *
Your answer
How to be called in the team (short name, preferred first name, nickname)
(optional)
Your answer
Neptun-Code
(your code in the Neptun electronic study system)
Your answer
E-mail address
Your answer
Telephone (with country and area code)
(e.g. +4917960665236) (optional)
Your answer
Home country (country of permanent residency)
Your answer
Nationality
(optional)
Your answer
Faculty, if not University of Pécs Medical School
(optional)
Year of the beginning of your studies
(YYYY)
Your answer
Your language skills (language spoken)
(please mark more than one if appropriate)
Official Program of your studies
(Please enter the Program, in that you are currently officially registered at the University of Pécs, independently from the language of your demonstrator activity)
Beginning of your demonstrator activity
(MM/YYYY)
Your answer
Institute(s)/University Hospital(s)/Department(s) of your demonstrator activities so far
(you may enter more than one, if necessary)
Institute(s)/University Hospital(s)/Department(s) of your (planned) demonstrator activity
(you may enter "same" if not different from the above)
Director of the Course, in which you plan to perform your teaching activites as a demonstrator
(the teacher, that takes care of the course of your specific demonstrator activities, the end-teacher you demonstrate with)
Your answer
Teacher, at whom you (plan to) perform your teaching activites as a demonstrator
(your consultant teacher or instructor that takes care of you during your demonstrator activity: e.g. you are in contact with an English teacher, but you'll be a demonstator with a cardiologist))
Your answer
Remarks
(for example "Unchanged demonstrator activity" if you perform a simplified registration, and your demonstrator activity is not changed compared to the last semester; or "Correction" if you only correct a few entry points this time)
Your answer
Reminder: for the case, you haven't done it yet, please do not forget to copy the text below, and send it in an e-mail to your tutor after you completed this registration
Dear Tutor,
Please verify my registration at the Circle of Demonstrators (DDK) using the following link:
https://goo.gl/forms/bjB6orlPHiGeUmWo2
Sincerely,
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