ALPINE EUROPE REGISTRATION FORM

Students applying for credits through Oregon State University, please proceed with your registration on this link and click on the “Apply Now” button.

Students seeking credits through University of Primorska, please fill out the following form:

Name *

Surname *

Nationality *

Gender *

Male

Female

Other

Date of birth *

Place of birth *

Country of birth *

Passport number *

Passport issuing country *

Address *

Postcode and city *

Country *

Telephone *

E-mail *

Home University *

City *

Country *

Faculty/Department *

Position *

Diploma / degree for which you are currently studying *

1st cycle (BA)

2nd cycle (MA)

3rd cycle (PhD)

Number of higher education years prior to departure abroad: *

What is your motivation

Attach your CV

Other documents

Would you like to participate in one (or more) of the following activities (additional cost): *

RAFTING (1 pm): € 37.40

CANYONING SUŠEC (2 pm): € 40.80

ZIP LINE (1 pm or 2 pm or 3.30 pm or 5 pm or 6 pm): € 46.75

I allow the University of Primorska (UP) and Oregon State University (OSU) to use my personal data and contact data (e-mail, mobile/phone number) for the purpose of:

procedures related to the programme offered by UP and OSU (including collecting my personal documents (personal ID, passport or other personal document) and photos),
informing me about activities related to the study process (programme, schedule, logistical matters, managing transcripts, solving requests etc.).

Also, I allow the University of Primorska (UP) and Oregon State University (OSU) to:

use my personal data and contact data for the purpose of:

participation in promotional activities of the university and for the promotion of my curricular and extracurricular achievements on the web, including social media:

YES

take photographs of me in association with the official and unofficial events concerning my summer programme, and to use such photographs of me with or without my name and for any lawful purpose, including, for example, such purposes as publicity, illustration, advertising, and web content: *

YES

By giving this consent, I hereby acknowledge that I am notified of my rights in relation to the personal data transmitted, namely that:

I can request access to my data, correction, deletion or transfer of such data and restrictions on their processing, or I can file an objection against its processing;
I can cancel this consent at any time;
I can lodge an appeal to the competent supervisory authority if I believe that the personal data controller violates the rules on the protection of personal data;
I can find information on the personal data controller, the authorized person for the protection of personal data and other information related to the use and protection of personal data at the web address www.upr.si ;
the provided personal data will be kept for a period of five (5) years in line with the Erasmus+ regulation;
the provided personal data will not be processed for any other purpose, except as stated above;
the provided personal data will not be transmitted to third parties, other than those defined by law, contract or other legal basis;
the personal data provided for the purpose of consent can also be processed by the contractual partners with whom UP has concluded contracts for the processing of personal data and which at the same time provide an adequate level of protection of personal data.

I AGREE

Please, click submit button just once. After successful registration you will receive an automatic confirmation on the e-mail address specified in the registration form. If you experience any problems, please try to register a bit latter or contact International Office

Course dates	17-30 June 2019
Registration deadline	15 March 2019
Tuition payment deadline	30 April 2019
Accreditation	6 ECTS, accredited by the University of Primorska 6 undergraduate credits or 3 graduate credits accredited by Oregon State University
Tuition fee	1,450 Euros, for students seeking credits through the University of Primorska (6 ECTS) EUR 1,950 for collaborating professionals registering through the University of Primorska Students seeking credits through the Oregon State University (6 or 3 credits): will be announced later

For students from Europe, Africa and Asia	Aleš Oven International Office Faculty of Mathematics, Natural Sciences and Information Technologies University of Primorska Koper, Slovenia Phone: +386 5 611 7596 E-mail: international@famnit.upr.si
For students from North, Central, South America, Indo-Pacific region	Kerry Menn Coordinator of International Programs Oregon State University Corvallis, OR USA Phone: +1 541 737 2004 E-mail: kerry.menn@oregonstate.edu

Alpine Europe

ALPINE EUROPE REGISTRATION FORM