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Staff Week for Central and Eastern European Partners 05.-09.02.18
Questionnaire for participants
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Questionnaire for participants
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Questionnaire for participants
Please fill out the following form.
First Name
Last Name
Home Institution
Your Mobile Phone Number
Arrival
Year
--
2018
/
Month
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January
February
March
April
May
June
July
August
September
October
November
December
/
Day
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1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Hour
--
12
01
02
03
04
05
06
07
08
09
10
11
:
Minute
--
00
05
10
15
20
25
30
35
40
45
50
55
AM/PM
--
AM
PM
Departure
Year
--
2018
/
Month
--
January
February
March
April
May
June
July
August
September
October
November
December
/
Day
--
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Hour
--
12
01
02
03
04
05
06
07
08
09
10
11
:
Minute
--
00
05
10
15
20
25
30
35
40
45
50
55
AM/PM
--
AM
PM
Cultural Activity: La Traviata (Opera) - 7 February 7:30 pm
Would you like to participate in this activity?
Yes
No
Cultural Activity 6 February 4 pm
Please choose one of the following activities.
Guided Visit to the Dom
Campus and Library Tour
Enter the word below
(Required)