Course Enrollment – Europass Teacher Academy

1. Do you have an ERASMUS+ grant?

YesNo

Name of the Institution (or Name and Surname)

City of your Educational Institution

Name of the person in charge of your ERASMUS+ project

E-mail of the person in charge of your ERASMUS+ project

2. Course information

How did you hear about us?

Specify

Add more courses by clicking on the plus sign below .

Select the course

Starting date

Course Location (Florence, Dublin, Barcelona, Berlin, Nice, ...)

3. Participants

Add more participants by clicking on the plus sign below .

Name

Surname

Nationality

Gender FemaleMale

Your English language level according CEFR

School level / Organization

School or Organization name

Subject/s taught

4. Details for invoice

Name of the Institution (or Name and Surname)

Address of your Educational Institution

Postal code of your Educational Institution

City

Country

VAT Number (e.g. FR0123456789)

OID number

Your Full Name

Your Email

Address

Postal code

City

Country

Fiscal Code

Your Nationality

Gender FemaleMale

5. Accommodation (optional)

Notes and confirmation

Notes

Regulations and conditions I have read and accept the regulations and enrolment conditions of EUROPASS Teacher Academy.

Payment I will do the payment according to the instructions on the booking confirmation / invoice that i will receive from the school.

Privacy policy I understand that my personal data will be used only for administrative tasks related to the enrolment. The authorization for the treatment of data is mandatory and in its absence it isn't possible to enroll.

Photos
I give my consent to the distribution of images, photos and filming that include me, used for marketing purposes, without time limits or requests for payment and copyrights.
YesNo

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