KA171 Participation Form

The participation form has to be completed by February 25, 2026 16:00 (UTC +3 İstanbul time).

I. PERSONAL INFORMATION

HOST UNIVERSITY

THE NAME OF YOUR UNIVERSITY (HOME UNIVERSITY)

CALL NAME

NAME OF THE APPLICANT (As it is written on your passport)

PASSPORT NUMBER

PARTICIPATION STATUS*

PHONE NUMBER* (Including the country code)

THE E-MAIL OF THE APPLICANT

MOBILITY DATES

II. DECLARATION*

If I state that I will participate in the mobility, I declare that I will comply with the relevant legislation and rules.

I declare that if I select I will not participate, I will withdraw my rights to realise the Erasmus+ Staff Mobility for which I am entitled.

I accept and declare that the result of the placement announced in accordance with the specified issues is not binding on the SCU Erasmus+ Institution Coordinatorship, and my ability to benefit from the mobility depends on the budget of the SCU Erasmus+ Coordinatorship.

I approve the processing of my data within the scope of the Personal Data Protection Law No. 6698 as specified in the Explicit Consent Text.

SIGNATURE

Please draw your signature into the box by using the mouse or the touchscreen of your device. To delete the signature please click on the CLEAR button. If the signature does not show up, please click on the CLEAR button and try again.

Security Verification