Incoming staff Application

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In order to be able to resume this form later, please enter your email and choose a password.

Your Email:

A Password:

Confirm Password:

Personal Details

Salutation:

Gender

First Name:

Last Name:

Phone (include country code):

Email:

Country of Citizenship:

Passport Number

Please upload a short CV:

Please upload a short CV

Upload a digital photograph (JPG)

Home University Information

Home University:

University Location (Country) :

Role title:

Role type:

Job Responsability:

Visit Information

Type of Mobility

As defined by your International Office

Fields of interest at BGU:

Planned activities and expectations:

Host Information

Do you have a host at BGU ?

Host Salutation:

Host Gender

Host First Name:

Host Last Name

Host Email:

Host Department :

Planned Dates

Planned arrival date (DD/MM/YYYY):

Planned departure date(DD/MM/YYYY):

Home University International Office Contact Details

Please complete the information of the person from the International office who will approve your mobility

Representative's Gender

Representative's First Name:

Representative's Last Name

Representative's Role:

Representative's Email:

Representative's phone number (Include country code):

Previous Visits at BGU

Have you previously visited BGU?

Was one of the visits in the framework of Erasmus mobility?

Host First Name:

Host Last Name:

Host Email:

Host Department at BGU:

Last visit month:

please state your last visit dates in BGU

Last visit Year:

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Contact Information