Incoming Staff

Application for a staff exchange
J. Selye University (SK KOMARNO01) – OID: E10161166

APPLICATION DETAILS

1. Exchange Programme(*)

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Other

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2. Academic Year(*)

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3. Semester(*)

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4. Planned period from(*)

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Planned period to(*)

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5. Number of planned days(*)

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PERSONAL DETAILS – STAFF

6. Last Name(*)

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7. First Name(*)

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8. Academic Degree

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9. Gender(*)

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10. Date of Birth(*)

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11. Seniority(*)

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12. Place of Birth (*)

City(*)

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Country(*)

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13. E-mail adress(*)

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Phone Numer(*)

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DATA CONCERNING THE CONTACT PERSON IN CASE OF EMERGENCY

14. Last and First Name(*)

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15. Telephone number(*)

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16. Allergies

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17. Medicines

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DATA CONCERNING SENDING INSTITUTION

18. Home Institution(*)

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19. Erasmus Code (if applicable)

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20. Name of the Institutional Coordinator(*)

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21. E-mail adress of the Institutional Coordinator(*)

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22. Phone number of the Institutional Coordinator(*)

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PLANNED STUDIES AT J. SELYE UNIVERSITY

23. Faculty(*)

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Study Programme - Faculty of Economics and Informatics

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Study Programme - Faculty of Education

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Study Programme - Reformed Theological Faculty

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Rectorate

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ATTACHMENTS

Do you need dormitory accommodation?(*)

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Mobility Agreement(*)

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(.doc, .docx, .pdf)

Signed invitation letter(*)

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(.doc, .docx, .pdf)