Application form

Personal data

Name *

Surname *

Gender *

Male

Female

Title

Current status *

Passport number and nationality *

Professional data

One academic title obtained (year and Institution): *

Second academic title obtained (year and Institution):

Institution where you work at present and the post you occupy *

Contact information

Mailing address - Please, indicate which of the two prefer as your mailing address *

Private address (including phone and fax number)

Work address (including phone and fax number)

Email *

Attachments

A description of the research Project to be carried out *

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Curriculum vitae *

A summarised CV - maximum 800 words
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Information about personal finalcial circumstances

Information about your country, post you occupy and other relevant information
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Proof (where relevant) of having been awarded other financial assistance for the research

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Arrival and departure

I would like to visit the Institute from (arrival day)

Hilabetea

Eguna

Urtea

I would like to visit the Institute until (departure day)

Hilabetea

Eguna

Urtea

How you inted to travel to Oñati

I authorize the IISL to process my personal data *

I authorize the IISL to process my personal data in accordance to the Privacy Policy and the provisions of the General Data Protection Regulation (GDPR) and other regulations in force. If you have any queries regarding the processing of your personal data or, if you wish to exercise your rights please contact legal@iisj.es. I have read and accept the Privacy Policy about Data Protection.

YES

I authorize the IISL to record or photograph my personal image *

I authorize the IISL to record or photograph my personal image and to include said images in the image archives of the IISL as well as any other work protected under copyright laws that I have carried out and handed in with the purpose of participating in the Institute’s activities, so they can be published on their website, virtual learning area, social media or similar pages, magazines, publications advertising the Institute and any other formats directly related to the IISL’s activities.

YES

Sending date

Hilabetea

Eguna

Urtea

CAPTCHA

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

Galdera matematikoa * 4 + 5 =

More information?

Para más información:

Malen Gordoa Mendizabal

IISJ (Meetings)
Avenida de la Universidad, 8
Apartado 28
20560 Oñati (Gipuzkoa) - Spain
T: +34 943 71... Ver teléfono
F: +34 943 78... Ver fax
E: malen@iisj.es
@MalenIISJ

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