Application The right and best place to submit your application Application form Please take a moment and fill an applicationIt is required to submit the application only in English Title* Enter your title (e.g. Mr, Mrs, MSc, PhD, Prof) First Name* Enter your first name Last Name* Enter your last name Gender*-- Choose gender --malefemale Select a gender Email* Enter a valid email Phone number Enter your phone number University name* What University are you affiliated with Faculty/Department name What Faculty/Department are you affiliated with Subsidy type*-- Choose type of subsidy --Research visitJob shadowingStudy visitEstablishing new contactsArticle publication Choose subsidy type Mobility destination* Enter destination place of your mobility Approximate date of start your mobility* Enter date of the beginning of your mobility Duration of your mobility* Enter the number of days of your mobility Mobility purpose* The purpose of the visit and expected results Summary of earlier cooperation A summary of earlier cooperation with the host institution (if applicable) Attachment with short CV* PDF file up to 2 MB required Attachment with Invitation Letter* PDF file up to 2 MB required Attachment with cost assessment PDF file up to 2 MB required (if applicable) Article title* Enter your article title Journal name* Enter chosen journal name Estimated cost* Enter estimated cost to be subsidised in PLN Was article accepted for printing?* -- Information of acceptance for printing --YES - article was accepted for printingNO - article wasn't accepted for printing Choose right answer Does the article contain information: "This article/material has been supported by the Polish National Agency for Academic Exchange under Grant No. PPI/APM/2019/1/00003"* -- Information of acknowledgement inclusion --YES - article/material has acknowledgementNO - article/material hasn't acknowledgement Choose right answer Attachment with final version of the article* PDF file up to 6 MB required Consent to Privacy policy*I have read and agree to the Privacy policy Consent to Terms and Conditions*I have read and agree to the Terms and Conditions Captcha Please prove you are human by selecting the Truck. Select right image on captcha