Staff Application Form - Alliance4universities

Personal Details

First name *

Last name *

DNI-NIE *

(for applicants from Spain) or passport number (for applicants from other countries)

Home Address

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country

Phone

Email *

Previous Participation

If you received a mobility grant under Erasmus+ International Credit Mobility (Action KA107 or KA171), indicate country, university and duration of mobility.

Previous Participation

Mobility for which you are applying now

Type of Mobility

Sending Institution

Faculty and/or Department

Receiving Institution

Receiving Faculty and/or Department

Mobility Start Date

Mobility End Date

Disadvantaged background

A4U supports inclusion. If you come from a disadvantaged background or have special needs or a disability (check the Call for criteria), indicate it in the field below and attach the documentation that confirms it. It will have to be confirmed by your sending institution..

Disadvantaged background

Documents to attach

Mobility Agreement

Click or drag a file to this area to upload.

Abridged CV

Click or drag a file to this area to upload.

Privacy statement *

I agree for my personal data to be transferred to ASOCIACIÓN ALIANZA 4 UNIVERSIDADES C/Madrid, 126, Getafe, España, CIF G85674653, for the purpose of processing applications for and managing Erasmus+ International Credit mobility grants.