Application form

	NICOLAUS COPERNICUS UNIVERSITY IN TORUŃ
Application form for incoming Staff Mobility Erasmus+ KA107 (Partner Countries)

Academic year (mobility year):

Mobility Type:

Country:

City:

Name of the home institution:

Title:

Name:

Family name:

Seniority in the position:

Nationality:

Address (oficial address in full):

Department/unit (at home institution):

Phone:

E-mail:

Sex:

Date of arrival:

Date of departure:

First day of teaching or training at NCU:

Last day of teaching or training at NCU:

"Recruitment Protocol" signed (pdf only):

"Mobility Agreement" signed by three parties (pdf only):

I have read the privacy policy and I agree to processing my personal data.