Application Form (Staff Days)

Application Form

Personal Information

First Name(s)*

Last Name(s)*

Email*

Phone Number*

Contact Details

Home Country*

Home Institution*

Faculty / Department*

Job Title / Position*

Personal Questions

Do you have any food intolereance or allergies?

Yes

If yes, please specify in "other" section.

Do you follow any special diet?

Yes

If yes, please specify in "other" section.

Do you have any impairments or physical limitations (e.g., difficulty walking, mobility issues, or other accessibility needs) that we should be aware of?

Yes

If yes, please specify in "other" section.

Based on past experience, organizing a WhatsApp group among participants has proven to be an efficient way of communication. Would you like to be part of such a group?

Yes

If yes, please provide your phone number.

Is there anything else we should know to better accommodate your needs or enhance your training experience?

Organisational questions

What is your estimated arrival date?*

What is your estimated departure date?*

Please briefly describe your areas of responsibility and explain why you believe the staff days on AI and digitalisation would be relevant and beneficial for you and your professional activities

Would you like to share your expertise/experience by delivering a presentation or moderating a discussion with the participants on a particular topic, related to the thematic frame of the Staff Training Days? If so, what format/topic would you prefer?

Do you need an official invitation letter?

Yes

If you need an official invitation letter, please provide your date and place of birth, nationality, gender.

Date of birth

Place of birth

Nationality

Gender

Consent to be contacted

I consent to the European University Viadrina using the contact information I provided above (email address, phone number, mailing address) to contact me in connection with the Staff Days. This includes:

• Information regarding my application and the selection process.
• Invitations to events, workshops, and networking meetings as part of the programme. Notifications regarding additional offers and support services provided by the university

I may revoke this consent at any time without providing a reason by sending an email to …..duhn@europa-uni.de.

I hereby consent