Toggle navigation Registration form Erasmus+ BIP Crossing Perspectives about Eggs Load unfinished survey Resume later Exit and clear survey default Caution: JavaScript execution is disabled in your browser or for this website. You may not be able to answer all questions in this survey. Please, verify your browser parameters. BIP Erasmus+ Crossing Perspectives about Eggs Sign up here to participate in the 2023 Erasmus+ Blended Intensive Programme, Crossing Perspectives about Eggs. (This question is mandatory) Personal Information First Name: Last Name: Mobile Phone Number: (This question is mandatory) Date of Birth: Please complete all parts of the date. Answer must be less or equal to 31.12.2005 Day Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 . Month Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec . Year Year 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 Date in the format: DD.MM.YYYY Format: DD.MM.YYYY Gender Female Male No answer (This question is mandatory) Email Address: Please complete all sections, they must be identical! Email Confirm Email (This question is mandatory) Your university (This question is mandatory) City (This question is mandatory) Country Please choose... Afghanistan Albania Antarctica Algeria American Samoa Andorra Angola Antigua and Barbuda Azerbaijan Argentina Australia Austria Bahamas Bahrain Bangladesh Armenia Barbados Belgium Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil Belize British Indian Ocean Territory Solomon Islands British Virgin Islands Brunei Darussalam Bulgaria Myanmar Burundi Belarus Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Sri Lanka Chad Chile China Taiwan Christmas Island Cocos (Keeling) Islands Colombia Comoros Mayotte Republic of the Congo The Democratic Republic Of The Congo Cook Islands Costa Rica Croatia Cuba Cyprus Czech Republic Benin Denmark Dominica Dominican Republic Ecuador El Salvador Equatorial Guinea Ethiopia Eritrea Estonia Faroe Islands Falkland Islands South Georgia and the South Sandwich Islands Fiji Finland Åland Islands France French Guiana French Polynesia French Southern Territories Djibouti Gabon Georgia Gambia Occupied Palestinian Territory Germany Ghana Gibraltar Kiribati Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guyana Haiti Heard Island and McDonald Islands Vatican City State Honduras Hong Kong Hungary Iceland India Indonesia Islamic Republic of Iran Iraq Ireland Israel Italy Côte d'Ivoire Jamaica Japan Kazakhstan Jordan Kenya Democratic People's Republic of Korea Republic of Korea Kuwait Kyrgyzstan Lao People's Democratic Republic Lebanon Lesotho Latvia Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macao Madagascar Malawi Malaysia Maldives Mali Malta Martinique Mauritania Mauritius Mexico Monaco Mongolia Republic of Moldova Montserrat Morocco Mozambique Oman Namibia Nauru Nepal Netherlands Netherlands Antilles Aruba New Caledonia Vanuatu New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Norway Northern Mariana Islands United States Minor Outlying Islands Federated States of Micronesia Marshall Islands Palau Pakistan Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Guinea-Bissau Timor-Leste Puerto Rico Qatar Réunion Romania Russian Federation Rwanda Saint Helena Saint Kitts and Nevis Anguilla Saint Lucia Saint-Pierre and Miquelon Saint Vincent and the Grenadines San Marino Sao Tome and Principe Saudi Arabia Senegal Seychelles Sierra Leone Singapore Slovakia Vietnam Slovenia Somalia South Africa Zimbabwe Spain Western Sahara Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Tajikistan Thailand Togo Tokelau Tonga Trinidad and Tobago United Arab Emirates Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine The Former Yugoslav Republic of Macedonia Egypt United Kingdom Isle of Man United Republic Of Tanzania United States U.S. Virgin Islands Burkina Faso Uruguay Uzbekistan Venezuela Wallis and Futuna Samoa Yemen Serbia and Montenegro Zambia (This question is mandatory) Level of studies Please choose... 1st year of Master 2nd year of Master 1st year of PhD 2nd year of PhD 3rd year of PhD 4th year of PhD Other: Other: (This question is mandatory) Field of studies (This question is mandatory) Motivation: why do you want to participate? (This question is mandatory) Level of English Choose one of the following answers Please choose... A1 A2 B1 B2 C1 C2 Please visit this page to learn about the Self assessment grid Common European Framework of Reference for Languages (CEFR) (This question is mandatory) 1st Erasmus+ mobility? Yes No Attach your CV Please upload one file Upload files × Upload file (This question is mandatory) Do you have any disabilities or special needs? Yes No (This question is mandatory) Please specify: (This question is mandatory) Do you require any special assistance or accommodations? Yes No (This question is mandatory) Please specify (This question is mandatory) Declaration I hereby confirm that the information provided in this form is complete and accurate. I understand that any false or misleading information may result in the cancellation of my participation in the Erasmus+ program. Submit Load unfinished survey Resume later Please confirm you want to clear your response? Exit and clear survey ×