reflexión sobre la universidad - Cursos de Verano UPV/EHUko Uda

UNIVERSIDAD DEL PAÍS VASCO
EUSKAL HERRIKO UNIBERTSITATEA
UDA IKASTAROAK / CURSOS DE VERANO
ONLINE
REGISTRATION FORM FOR
PENAF – ONLINE: EXPERIMENTAL PROGRAM OF NEW ONLINE TRAINING ACTIONS
2015
PERSONAL DETAILS
Surname
Name
Address
City code
City
State / Province
Nationality
Date of birth
Passport number
Tel.
E-mail
Male
Female
Fill with CAPITAL LETERS
City/country from which you will follow the online course
PROFESSIONAL FORMATION
(1)Qualification
Occupation
---------------------------------
(2)
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(3) :Currently
studying or completed studies
---------------------------------------
(1) (2) (3) Fill in according to the added list
REGISTRATION
V.1
Eskola 2.0 eta IKTen erabilera ikastetxean
75 €
V.2
Hezkuntza eleanizduna: gaitasun eleanizduna eta translanguaging / Multilingual education:
multilingual competence and translanguaging
75 €
V.3
Educación sexual en la Educación Secundaria Obligatoria
75 €
V.4
Ikasteko kooperatu / kooperatzen ikasi, ikasgelan. Ikaskuntza kooperatiboa
75 €
V.5
Prevención e intervención en situaciones de agresión, violencia y acoso, en la familia y en la escuela
75 €
V.6
Eskola 2.0 eta IKTen erabilera ikasgelan
75 €
V.7
Introducción al Derecho Penal europeo
75 €
RETURN TO:
th
Please, send registration and method of payment, before 9 of February.
[email protected]
METHODS OF PAYMENT

Bank transfer
Please send proof of transfer made to Summer Courses account.
BBVA ES95 – 0182 – 5709 – 48 – 0010010034

Credit card
Owner
Credit card number
Expire date
RECEIPT
Summer Courses Organization will send you a receipt. If you need this receipt to be made payable to another person or institution,
please, fill the following chart.
Name / Institution
Address
City code
City
State / Province
Tel.
E-mail
Passport number
REFUNDS
If your registration form is not accepted, the registration fee will be reimbursed to you. Refund will be done to the following Bank
Account:
IBAN
Office
Branch
D.C.
Bank Account
OTHER INFORMATIONS
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The answer to your application form will be communicated by email, on 10 of February of 2015.
The registrations will be obtained by order of receipt.
25 minimum registrations are needed to form a group. The group will have registered 40 Maximum.
MODIFICATIONS AND CANCELLATIONS
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•
•
•
The registration may be modified before February 9. After date modifications will not be permitted.
Cancellations: up to 5 days before the starting date of each course. The entered amount, except management
amount €10 will be refunded.
To cancel a course cancellation form must be sent to [email protected].
Once the course is started, cancellations will not be allow.
PROFESSIONAL FORMATION
(1) Qualification
Elementary School
Code
1
(3) Currently studying or completed studies
Anthropology
Code
21
High School
2
Architecture
University Student
3
Architectural Technologist
22
23
University Degree
6
Fine Arts
24
University B.A.
7
Environmental Sciences
25
PhD
8
Biology
26
Others
9
Education
27
Politics
28
Law
29
Code
Economy
30
Civil Service
60
Business
31
Health Sciences
61
Nursing
32
Building Industry
62
Pharmaceutical Sciences
33
Unemployed
63
Languages
34
Business
64
Philosophy
35
Education
65
Physics
36
Student
66
Geography
37
Industry
67
Geology
38
Retired
68
History
39
Housework
69
Computer Sciences
40
Liberal Profession
70
Engineering
41
Service sector
71
Engineering Technician
42
Others
72
Literature
43
(2) Occupation
Teaching
44
Mathematics
45
Medical Sciences
46
Nutrition
47
Journalism
48
Psychology
49
Chemistry
50
Labour Relations
51
Sociology
52
Social Work
53
Tourism
54
Others
55
In compliance with the duty of information stated in art. 5 of the Personal Data Protection Act 15/1999, of 13 December, we would like to notify you that your
personal details will be recorded on the Fundación Cursos de Verano file [Summer Courses Foundation] which is the title and responsible party for this file. The
purpose of this file is to organise the courses and manage the administrative activities derived from your relationship with us. If you wish, you may exercise your
right to access, correction, opposition and/or cancellation of this data, according to the provisions established in current legislation, by writing to Fundación Cursos
de Verano, Paseo de Miraconcha nº 48 (Palacio Miramar), San Sebastián, 20007 (Gipuzkoa) or by sending an e-mail to: [email protected]