UDE International Staff Week - Application

Application for the UDE International Staff Week 2019

For which track of the UDE International Staff Week would you like to apply?

Please select

Personal Details

First Name

Family Name

Gender

Mobile Phone Number

Home Institution

Department

Address

Zip Code

City

Country

Position

In this position since

Main tasks/responsibilities at your home institution

Motivation

Please tell us in a few sentences why you wish to participate in the staff week

Engagement

It is very important to us to have mutual exchange with the participants. You are very welcome to share your expertise with the participants (no longer than 5 minutes). If you are interested, please provide us with a short specification of the topic.

Social Events

To ensure the week is both productive and enjoyable we would like to designate so time to networking and social events. Please help us to plan the social activities by indicating which events you would like to join.

Welcome reception

Welcome Reception

Christmas market

Christmas Market

Landschaftspark

Guided Tour Landschaftspark Duisburg

Special Requirements

Dietary requirements

Dietary Requirements

Vegetarian

Other

If yes, please specify

Please inform us if you have any disability we should be aware of

Consent for the Publication of Photographs

Consent photos

I agree that the event organizer and the press have the permission to take pictures, audio and/or video recordings of the event in which I am visible without limitation and to publish those, even for promotional purposes without consent or compensation. Insofar as my photo gives indications of my ethnic origin, religion or health (such as skin colour, headwear, glasses), my consent also applies to this information. The requested consent for the specific purpose mentioned is voluntary, and you may therefore revoke it in relation to UDE at any time, freely and without stating reasons, with future effect. *

Data Protection Statement

Data protection

I agree to the use of the data entered, for the purpose of the organisation of the UDE International Staff Week at the and accept the data protection regulations. I agree that my data (name and email) may be passed on to accepted staff week participants . This declaration of consent does not affect my rights on information, correction, deletion and inhibition of saved data (according to §32 Federal Data Protection Act). *

Captcha

Captchas dienen der Sicherheit und werden verwendet, um festzustellen, ob Eingaben von einem Menschen oder einer Maschine (Roboter[programm], kurz Bot) erfolgt sind, weil Roboter hier oft missbräuchlich eingesetzt werden.

Bitte geben Sie die angezeigte Zahl in das Eingabefeld ein. Sie können die angezeigte Zahl alternativ als Audio-Ausgabe vorlesen lassen.

* Required field

International Office

Akademisches Auslandsamt

UDE International Staff Week - Application