Application form

ERASMUS Staff Training Week

Intercultural training

for teachers, international officers

organized by

EötvösLorándUniversity(HU BUDAPES01)

14 – 18January 2013

1. Personal data:
Full Name
(first name/family name)
Department
Area
Position
Office contact details (e-mail address and
phone number)
Spoken language(s)
Level of English language competence
2. HomeUniversity:
Official Name
(in English)
Address
ERASMUS Code
Name & contact details of Institutional Erasmus Coordinator
3. Others:
Specific requests such as visits, appointments:
Specific topics of interest (please name one or two topic about which you would like to hear more detailed during the Staff Week):

Special requirements (allergies, vegetarians, etc.):

Registration fee: 550 €(Bank details for the money transfer will be given later.)

The training programme/course will be organised provided there are at least 15 applicants.

The registration fee covers the contact hours, teaching materials, coffee breaks and some social programmes. The registration fee and the costs of money transfer, travel, accommodation, meal and some social programmes have to be covered by the participants. Participants can apply for Erasmus Staff mobility grant at theirHomeUniversity.

The language of the training is English. We can accept up to 25 participants (maximum of two colleagues per partner institution and may not be able to accept all applications).

Date:
Signature of Applicant
Date:
Signature and stamp of Institutional Erasmus Coordinator of Home University

Please return your application form by e-mail to or

or by faxto + 36-1-411-6538

until Friday, 30November 2012!

Accommodation information
We have pre-booked rooms for the participants at corporate prices at the hotels listed bellow. The quoted prices are available only for the accepted participants of the Staff Week and only for the time of the training. We will send you the booking forms later. Prices are for a single room and include breakfast, free WIFI and all applicable taxes (at Danubius Hotel Gellért free entrance to the famous Gellért Thermal Bath).
Corporate prices:
Danubius Hotel Erzsébet *** (64 € / person / night)

Danubius Hotel Gellért **** (80 € / person / night) (free entrance to the famous Gellért Thermal Bath included)

Danubius Hotel Astoria **** (80 € / person / night)

Mercure Budapest Korona **** (93 € / person / night)