JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
3rd International Staff Week
- University of Lomza, Poland
Dates:
June 10th - 14th 2024
Address:
14 Akademicka Street, 18-400 Łomża, Poland
Contact us at:
erasmus@al.edu.pl
3rd International Staff Week - Invitation
3rd International Staff Week - Programme
Registration deadline: May 10th
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
First name
*
Your answer
Last name
*
Your answer
Date of birth
*
MM
/
DD
/
YYYY
Nationality
*
Your answer
Gender
*
Male
Female
Other:
Home institution
*
Your answer
Erasmus Code
if applicable
Your answer
Department
*
Your answer
Job description
*
What are your main responsibilities at your home university?
Your answer
Address of home institution
*
Your answer
Website of home institution
*
Your answer
University/Erasmus email address
*
Your answer
Your email address
*
Your answer
Your phone number
*
Your answer
Planned date of arrival:
*
MM
/
DD
/
YYYY
Planned date of departure:
*
MM
/
DD
/
YYYY
Mobility type
*
Staff Mobility for Teaching Assignment (STA)
Staff Mobility for Training (STT)
Possible topic of the teaching assignment (if you chose the STA mobility type)
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms