Application form – incoming students Erasmus+ application form incoming students Academic year: Aim of the mobility: study traineeships Period of stay: winter term summer term other Date of stay: Candidate's data Surname: Name: Nationality: Date of birth (dd/mm/yyyy): ID/Passport number: Address (street,No, postal code, city): Phone: Email: Study cycle: bachelor master doctoral Field of study: Language: Level: beginner (A1-A2) intermediate (B1) upper-intermediate (B2) advanced (C1-C2) Disability: yes no Sending institution Country: Name of the sending institution: Erasmus code of sending institution : Attachments The application allows attaching documents in JPEG / PDF format, the size of each file cannot exceed 3MB. Learning Agreement for studies/traineeships: CV: I consent to the processing by the Institute of Human Genetics Polish Academy of Sciences, Strzeszyńska 32 street, 60-479 Poznań, VAT No: 7811745737, REGON No.: 000326428, my personal data contained in the application, for the purpose and scope necessary to document academic records/stay, reporting, promotion of the mobility program and dissemination of mobility results, in particular on the website www.igcz.poznan.pl, social media, radio and TV. I have been informed that consent is voluntary and that I have the right to withdraw consent at any time, and that withdrawal of consent does not affect the lawfulness of the processing that was carried out on its basis before its withdrawal. I have also read the information on data protection (information clause). Apply
