{"id":15525,"date":"2021-03-02T11:48:03","date_gmt":"2021-03-02T11:48:03","guid":{"rendered":"https:\/\/igcz.poznan.pl\/?page_id=15525\/"},"modified":"2024-09-11T11:20:22","modified_gmt":"2024-09-11T11:20:22","slug":"formularz-wyjazdy-pracownikow","status":"publish","type":"page","link":"https:\/\/igcz.poznan.pl\/en\/formularz-wyjazdy-pracownikow\/","title":{"rendered":"Formularz &#8211; wyjazdy pracownikow"},"content":{"rendered":"<div class=\"fcfcontainer\">  <form id=\"epform\" method=\"post\" name=\"form-38\" enctype=\"multipart\/form-data\" action=\"https:\/\/igcz.poznan.pl\/wp-content\/plugins\/fcforms\/addParticipant.php\">  <input type=\"hidden\" name=\"form_id\" value=\"38\">\t<h2>Erasmus+ formularz zg\u0142oszeniowy\/application form<\/h1>    <h3>wyjazdy pracownik\u00f3w\/outgoing staff mobility<\/h3><div class=\"fcstextfield\">\n<label for=\"field-0\">Rok akademicki\/Academic year:<\/label>\n<input type=\"text\" name=\"data[rokAkademicki]\" id=\"field-0\"\/>\n<\/div>\n<div class=\"fcradio\">\n<label>Cel wyjazdu\/Aim of the mobility:<\/label>\n<div class=\"fcoptions fctwo\">\n<input type=\"radio\" id=\"option-1-0\" name=\"data[cel]\" value=\"celDydaktyczny\" checked=\"checked\"\/> \n<label for=\"option-1-0\">dydaktyczny\/teaching<\/label>\n<input type=\"radio\" id=\"option-1-1\" name=\"data[cel]\" value=\"celSzkoleniowy\" \/> \n<label for=\"option-1-1\">szkoleniowy\/training<\/label>\n<\/div>\n<\/div>\n<div class=\"fcstextfield\">\n<label for=\"field-2\">Okres pobytu (bez dni podr\u00f3\u017cy)\/Period of stay (excluding travel days):<\/label>\n<input type=\"text\" name=\"data[okresPobytu]\" id=\"field-2\"\/>\n<\/div>\n<div class=\"fclabelbreak\">\n<p>Dane kandydata\/Candidate's data<\/p>\n<\/div>\n<div class=\"fctextfield\">\n<label for=\"field-4\">Nazwisko\/Surname:<\/label>\n<input type=\"text\" name=\"data[nazwisko]\" id=\"field-4\"\/>\n<\/div>\n<div class=\"fctextfield\">\n<label for=\"field-5\">Imi\u0119\/Name:<\/label>\n<input type=\"text\" name=\"data[imie]\" id=\"field-5\"\/>\n<\/div>\n<div class=\"fcstextfield\">\n<label for=\"field-6\">Narodowo\u015b\u0107\/Nationality:<\/label>\n<input type=\"text\" name=\"data[narodowosc]\" id=\"field-6\"\/>\n<\/div>\n<div class=\"fctextfield\">\n<label for=\"field-7\">Data urodzenia\/Date of birth (dd\/mm\/yyyy):<\/label>\n<input type=\"text\" name=\"data[dataurodzenia]\" id=\"field-7\"\/>\n<\/div>\n<div class=\"fctextfield\">\n<label for=\"field-8\">Pesel (je\u015bli dotyczy\/if applicable):<\/label>\n<input type=\"text\" name=\"data[pesel]\" id=\"field-8\"\/>\n<\/div>\n<div class=\"fcltextfield\">\n<label for=\"field-9\">Adres (ulica, nr, kod pocztowy, miejscowo\u015b\u0107)\/Address (street,No, postal code, city):<\/label>\n<textarea name=\"data[adres]\" id=\"field-9\"\/><\/textarea>\n<\/div>\n<div class=\"fcstextfield\">\n<label for=\"field-10\">Tel\/Phone:<\/label>\n<input type=\"text\" name=\"data[tel]\" id=\"field-10\"\/>\n<\/div>\n<div class=\"fctextfield\">\n<label for=\"field-11\">Email:<\/label>\n<input type=\"text\" name=\"data[email]\" id=\"field-11\"\/>\n<\/div>\n<div class=\"fcradio\">\n<label>Kategoria pracownika\/Category of staff:<\/label>\n<div class=\"fcoptions fctwo\">\n<input type=\"radio\" id=\"option-12-0\" name=\"data[kategoria]\" value=\"naukowy\" checked=\"checked\"\/> \n<label for=\"option-12-0\">naukowy\/academic<\/label>\n<input type=\"radio\" id=\"option-12-1\" name=\"data[kategoria]\" value=\"nie-Naukowy\" \/> \n<label for=\"option-12-1\">nie-naukowy\/non-academic<\/label>\n<\/div>\n<\/div>\n<div class=\"fcradio\">\n<label>Sta\u017c pracy\/Seniority:<\/label>\n<div class=\"fcoptions\">\n<input type=\"radio\" id=\"option-13-0\" name=\"data[staz]\" value=\"10Lat\" checked=\"checked\"\/> \n<label for=\"option-13-0\"><10 lat\/years<\/label>\n<input type=\"radio\" id=\"option-13-1\" name=\"data[staz]\" value=\"10-20Lat\" \/> \n<label for=\"option-13-1\">10-20 lat\/years<\/label>\n<input type=\"radio\" id=\"option-13-2\" name=\"data[staz]\" value=\"20Lat\" \/> \n<label for=\"option-13-2\">>20 lat\/years<\/label>\n<\/div>\n<\/div>\n<div class=\"fctextfield\">\n<label for=\"field-14\">J\u0119zyk\/Language:<\/label>\n<input type=\"text\" name=\"data[jezyk1]\" id=\"field-14\"\/>\n<\/div>\n<div class=\"fcradio\">\n<label>Poziom\/Level:<\/label>\n<div class=\"fcoptions\">\n<input type=\"radio\" id=\"option-15-0\" name=\"data[poziom]\" value=\"a1A2\" checked=\"checked\"\/> \n<label for=\"option-15-0\">pocz\u0105tkuj\u0105cy\/beginner (A1-A2)<\/label>\n<input type=\"radio\" id=\"option-15-1\" name=\"data[poziom]\" value=\"b1\" \/> \n<label for=\"option-15-1\">\u015bredniozaawansowany \/intermediate (B1)<\/label>\n<input type=\"radio\" id=\"option-15-2\" name=\"data[poziom]\" value=\"b2\" \/> \n<label for=\"option-15-2\">\u015bredniozaawansowany wy\u017cszy\/upper-intermediate (B2)<\/label>\n<input type=\"radio\" id=\"option-15-3\" name=\"data[poziom]\" value=\"c1C2\" \/> \n<label for=\"option-15-3\">zaawansowany\/advanced (C1-C2)<\/label>\n<\/div>\n<\/div>\n<div class=\"fcradio\">\n<label>Niepe\u0142nosprawno\u015b\u0107\/Disability:<\/label>\n<div class=\"fcoptions fctwo\">\n<input type=\"radio\" id=\"option-16-0\" name=\"data[niepelnosprawnosc]\" value=\"tak\" checked=\"checked\"\/> \n<label for=\"option-16-0\">tak\/yes<\/label>\n<input type=\"radio\" id=\"option-16-1\" name=\"data[niepelnosprawnosc]\" value=\"nie\" \/> \n<label for=\"option-16-1\">nie\/no<\/label>\n<\/div>\n<\/div>\n<div class=\"fcradio\">\n<label>Podr\u00f3\u017c w ramach green travel:<\/label>\n<div class=\"fcoptions fctwo\">\n<input type=\"radio\" id=\"option-17-0\" name=\"data[]\" value=\"\" checked=\"checked\"\/> \n<label for=\"option-17-0\">tak\/yes<\/label>\n<input type=\"radio\" id=\"option-17-1\" name=\"data[]\" value=\"\" \/> \n<label for=\"option-17-1\">nie\/no<\/label>\n<\/div>\n<\/div>\n<div class=\"fclabelbreak\">\n<p>Instytucja przyjmuj\u0105ca\/Receiving institution<\/p>\n<\/div>\n<div class=\"fcstextfield\">\n<label for=\"field-19\">Kraj\/Country:<\/label>\n<input type=\"text\" name=\"data[kraj]\" id=\"field-19\"\/>\n<\/div>\n<div class=\"fctextfield\">\n<label for=\"field-20\">Nazwa instytucji przyjmuj\u0105cej\/Name of the receiving institution:<\/label>\n<input type=\"text\" name=\"data[nazwaInstytucjiPrzyjmujacej]\" id=\"field-20\"\/>\n<\/div>\n<div class=\"fcstextfield\">\n<label for=\"field-21\">Kod Erasmusa instytucji przyjmuj\u0105cej (je\u015bli dotyczy)\/Erasmus code of receiving institution (if applicable):<\/label>\n<input type=\"text\" name=\"data[kodErasmusa]\" id=\"field-21\"\/>\n<\/div>\n<div class=\"fcradio\">\n<label>Ilo\u015b\u0107 zrealizowanych mobilno\u015bci:<\/label>\n<div class=\"fcoptions\">\n<input type=\"radio\" id=\"option-22-0\" name=\"data[_1]\" value=\"1\" checked=\"checked\"\/> \n<label for=\"option-22-0\">pierwszy wyjazd<\/label>\n<input type=\"radio\" id=\"option-22-1\" name=\"data[_1]\" value=\"2\" \/> \n<label for=\"option-22-1\">drugi wyjazd<\/label>\n<input type=\"radio\" id=\"option-22-2\" name=\"data[_1]\" value=\"3\" \/> \n<label for=\"option-22-2\">trzeci wyjazd<\/label>\n<\/div>\n<\/div>\n<div class=\"fclabelbreak\">\n<p>Za\u0142\u0105czniki\/Attachments<\/p>\n<\/div>\n<div class=\"fcinfo\">\n<p>Za\u0142\u0105czniki w formie JPEG\/PDF, rozmiar ka\u017cdego pliku nie mo\u017ce przekroczy\u0107 3MB\/The application allows attaching documents in JPEG\/PDF format, the size of each file cannot exceed 3MB<\/p>\n<\/div>\n<div class=\"fcattachment\">\n<label for=\"field-25\">Program dydaktyczny\/szkoleniowy - Staff Mobility Agreement for Teaching\/Training:<\/label>\n<input type=\"file\" name=\"data[]\" id=\"field-25\"\/>\n<\/div>\n  <div class=\"fcfdisclaimer\"><input type=\"checkbox\" name=\"disclaimer-checkbox\" id=\"disclaimer-38\" required><label for=\"disclaimer-38\" class=\"lcheckbox\">Wyra\u017cam zgod\u0119 na przetwarzanie przez Instytut Genetyki Cz\u0142owieka PAN, ul. Strzeszy\u0144ska 32, 60-479 Pozna\u0144, NIP: 7811745737, REGON: 000326428, moich danych osobowych zawartych w zg\u0142oszeniu, w celu i zakresie niezb\u0119dnym do dokumentowania przebiegu studi\u00f3w\/pobytu, sprawozdawczo\u015bci, promocji programu mobilno\u015bciowego i upowszechniania rezultat\u00f3w mobilno\u015bci w szczeg\u00f3lno\u015bci na stronie internetowej http:\/\/igcz.poznan.pl\/ , w mediach spo\u0142eczno\u015bciowych, radio i TV. Zosta\u0142am\/em poinformowana\/y, \u017ce wyra\u017cenie zgody jest dobrowolne oraz \u017ce mam prawo do wycofania zgody w dowolnym momencie, a wycofanie zgody nie wp\u0142ywa na zgodno\u015b\u0107 z prawem przetwarzania, kt\u00f3rego dokonano na jej podstawie przed jej wycofaniem. Zapozna\u0142am\/zapozna\u0142em si\u0119 tak\u017ce z informacj\u0105 dotycz\u0105c\u0105 ochrony danych (klauzula informacyjna)\/\r\n\r\nI consent to the processing by the Institute of Human Genetics PAS, Strzeszy\u0144ska 32 street, 60-479 Pozna\u0144, 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).<\/label>  <\/div>    <div class=\"fcfbuttons\">      <button type=\"submit\">Aplikuj\/Apply<\/button>    <\/div>  <\/form><\/div>\n","protected":false},"excerpt":{"rendered":"Erasmus+ formularz zg\u0142oszeniowy\/application form wyjazdy pracownik\u00f3w\/outgoing staff mobility Rok akademicki\/Academic year: Cel wyjazdu\/Aim of the mobility: dydaktyczny\/teaching szkoleniowy\/training Okres pobytu (bez dni podr\u00f3\u017cy)\/Period of stay (excluding travel days): Dane kandydata\/Candidate's data Nazwisko\/Surname: Imi\u0119\/Name: Narodowo\u015b\u0107\/Nationality: Data urodzenia\/Date of birth (dd\/mm\/yyyy): Pesel (je\u015bli dotyczy\/if applicable): Adres (ulica, nr, kod pocztowy, miejscowo\u015b\u0107)\/Address (street,No, postal code, city): Tel\/Phone: Email: [...]","protected":false},"author":147,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-15525","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Formularz - wyjazdy pracownikow - Institute of Human Genetics Polish Academy of Sciences<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/igcz.poznan.pl\/en\/formularz-wyjazdy-pracownikow\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Formularz - wyjazdy pracownikow - Institute of Human Genetics Polish Academy of Sciences\" \/>\n<meta property=\"og:url\" content=\"https:\/\/igcz.poznan.pl\/en\/formularz-wyjazdy-pracownikow\/\" \/>\n<meta property=\"og:site_name\" content=\"Institute of Human Genetics Polish Academy of Sciences\" \/>\n<meta property=\"article:modified_time\" content=\"2024-09-11T11:20:22+00:00\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/igcz.poznan.pl\\\/en\\\/formularz-wyjazdy-pracownikow\\\/\",\"url\":\"https:\\\/\\\/igcz.poznan.pl\\\/en\\\/formularz-wyjazdy-pracownikow\\\/\",\"name\":\"Formularz - wyjazdy pracownikow - Institute of Human Genetics Polish Academy of Sciences\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/igcz.poznan.pl\\\/#website\"},\"datePublished\":\"2021-03-02T11:48:03+00:00\",\"dateModified\":\"2024-09-11T11:20:22+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/igcz.poznan.pl\\\/en\\\/formularz-wyjazdy-pracownikow\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/igcz.poznan.pl\\\/en\\\/formularz-wyjazdy-pracownikow\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/igcz.poznan.pl\\\/en\\\/formularz-wyjazdy-pracownikow\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/igcz.poznan.pl\\\/en\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Formularz &#8211; 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