Outgoing Staff Application, step 1

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Your Email:

A Password:

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Password must contain the following:

12 Characters
1 Uppercase letter
1 Lowercase letter
1 Number
1 Special character

For more information about the program click here
Please complete the form in English.

Personal Information

ID Number

Insert 9 digit number

Salutation

First Name

Last Name

Email (BGU Email preferred)

Additional Email Address

Phone number

Insert a 10 digit number

Faculty \ Unit \ Division

Department

Your job description at BGU

Role Type

Choose your role type as defined by your university

Type of Mobility

Teaching obligations at BGU at the time of mobility

Arrangements for substitute

255 digits

Additional Information

Upload a short CV (PDF)

Please upload your CV in English

Do you have a host at the University of your choice?

Host Information

Host Salutation

Host First Name

Host Last Name

Host Email

Host Department

Host University

Country

Additional Information

Job responsibility (Please describe your role in a few words in English)

Host Institution (for list of institutions click here)

Please choose one institution from this list.

Host Country

Please choose one country for the Outgoing Staff program from the list above.

Did you contact someone at the host institution?

Please provide details:

Mobility Information

Mobility dates:

From: (DD/MM/YYYY)

Until: (DD/MM/YYYY)

Description of planned Training/Teaching Activities.

What do you plan to gain from this mobility?

Did you get an Erasmus+ travel grant in the past?

Last Erasmus Mobility

Name of Institution

Country

Visit month

Visit Year

How would you like to submit the summary of your mobility?

Write a short summary mobilityUpload a summary mobility file (Pdf)

Write a short summary of your mobility.

Upload a summary of the mobility(pdf)

Please upload the mobility summary

What was the added value for you/to your department/to BGU?

I acknowledge that I am aware that my Erasmus+ Mobility will be handled either in English or in hosting country language and that I have enough knowledge of one of these languages to communicate with my host.

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Contact Information