ERASMUS+ Staff Training Week
Université de Pau et des Pays de l’Adour
9 – 13 February 2015
First name
Family name
Home institution
Erasmus code
Email
Telephone
Position at home
institution
How would you rate your proficiency in French?
Fluent
Competent
Fair
Basic
Fair
Basic
Fair
Basic
How would you rate your proficiency in English?
Fluent
Competent
How would you rate your proficiency in Spanish?
Fluent
Competent
Which faculty/department at UPPA would you like to visit? And why?
What results would you expect from participating in the programme?
Do you have any diet requirements?
Please submit application via email to marielle.peyret@univ-pau.fr by 7th January 2014.
Note: We can accept up to 20 participants (maximum of two colleagues per institution)
Date:
Signature of applicant:
Université de Pau et des Pays de l’Adour
International Office – Marielle PEYRET
Phone : + 33 559407059 ; marielle.peyret@univ-pau.fr