UNIVERSIDAD INTERNACIONAL DE LA RIOJA3rd INTERNATIONAL ERASMUS WEEK

20 – 24 April 2020

APPLICATION FORM

NAME: SURNAME:

GENDER: DATE OF BIRTH:

E-MAIL:

MOBILE PHONE:

JOB POSITION:

FACULTY:

HOME INSTITUTION:Name. Address, email

ERASMUS CODE (PIC Number):

Do you already have an agreement with UNIR?If no, what kind of agreement are you available to sign?Teacher/staff/student

DATE OF ARRIVAL: DATE OF DEPARTURE:

LANGUAGE OF INSTRUCTION (English/ Spanish):

Are you available to participate in the visit to Spanish bodega (wine tour) on 24th April (the last day)? Yes/No

APPLICATION FORM + info:

mobility.office@unir.net