Course Application Form
Attention: Open registration (FREE) for the course on Smart, Sustainable and Resilient Urban mobility with online sessions and Mobility Week in Prague, Czech Republic (October 25 - November 24, 2023, see details in course programme). You also can use this application form to register in other courses that are available online through Ryze app as explained in https://www.resicities.eu/registration.htm
I would like to apply to the following course(s):
NEW!!! Course on Smart, Sustainable and Resilient Urban mobility (course in blended format with online lectures followed by optional Mobility Week in Prague)
Introduction to Smart Cities (full online course)
Risk, safety, economics and planning for smart cities (full online course)
Entrepreneurship for Resilient, Smart and Sustainable Cities (full online course).
Circular economy (full online course).
Innovation for Sustainable and Smart Urban Planning (full online course)
PERSONAL DETAILS
Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Date of birth
-
Month
-
Day
Year
Date
Gender
Male
Female
Nationality
Linkedin profile
Write the link to your profile on Linkedin if available
UNIVERSITY AFFILIATION
Name of the higher education institution
Faculty/Department
Name of graduate/postgraduate course currently attending
Type of degree aiming for in this course
MSc
MBA
PhD
Other
PREVIOUS HIGHER EDUCATION COURSES ACCOMPLISHED
Type of degree
MSc
MBA
PhD
Other
Name of the course
Institution
Title obtained
Year of conclusion
Type of degree
MSc
MBA
PhD
Other
Name of the course
Institution
Title obtained
Year of conclusion
Type of degree
MSc
MBA
PhD
Other
Name of the course
Institution
Title obtained
Year of conclusion
MOTIVATION ABOUT THE CHOSEN COURSE(S)
Briefly justify the reason why you would like to apply for the chosen course(s) or attach a motivation letter to your application form.
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How did you learn about the offer of the chosen course
Website of my university
Social media (facebook, twitter, linkedin)
Website of the RESICITIES consortium
From one of my lecturers/colleagues
The course on Smart, Sustainable and Resilient Urban mobility will be offered for the first time from October 25 to November 14, 2023 through e-learning platform. In the first edition of this course there is also a planned Mobility Week to be undertaken in Prague (Czech Republic) during November 20-24, 2023. Would you like to apply for a scholarship in support of travel and accommodation costs in case you are a student from the IPAG Business School Paris, from the University of Stavanger or from Porto Business School?
Yes.
No. I could cover my own expenses to take part in the intensive week.
No. I would prefer to attend the lectures of Mobility week online if possible.
BLENDED LEARNING MOBILITY (INTENSIVE WEEK)
Signature
Date of signature
-
Month
-
Day
Year
Date
SUBMISSION OF APPLICATION FORM
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