APPLICATION FORM FOR ERASMUS+ EXTERNAL EXPERTS, HIGHER EDUCATION 

1.	Personal information

Name:	     	
Date of birth:	     	
Address of permanent residence:	     	
E-mail:	     	
Mobile phone:	     	
Workplace:	     	
Address:	     	
Phone number:	     	

2.	Formal education and professional bodies membership

	YES	NO			
Master Degree or equivalent qualification			If yes, specify higher education institution	If yes, specify field	
PhD			If yes, specify higher education institution	If yes, specify field	

3.	General professional experience

Please indicate the years of professional experience:       	

4.	Specific professional experience
a)	Succinctly describe your area of expertise, your current position and responsibilities. Please specifically address expertise in the education field or fields you are applying for.
Maximum text size is 2500 characters with spaces	

     
	
b)	Succinctly describe any previous experience regarding management, implementation and evaluation of EU funded projects (optional).
Maximum text size is 2500 characters with spaces	

     
	
c)	Succinctly describe any other previous professional experience that is relevant for assessment of projects under the Erasmus + programme, e.g. participation in relevant working groups, development of relevant policy documents, participation in relevant trainings (optional).
Maximum text size is 2500 characters with spaces	

     
	
d)	Please rate your English language skills. Once you choose a category please briefly describe 	

o	writing (choose: intermediate or advanced):      

o	reading (choose: intermediate or advanced):      

o	conversation (choose: intermediate or advanced):      
	
e)	Please rate your IT skills.   Once you choose a category please briefly describe: 	

o	      Intermediate or advanced:                	
a)	Što Vas je motiviralo na prijavu za vanjskoga stručnjaka za ocjenjivanje projektnih prijava u okviru programa Erasmus+? Na ovo je pitanje potrebno odgovoriti na hrvatskome jeziku. 
Najveći dozvoljen broj znakova s razmacima je 2500. 	

     	

Please fill in the application electronically and sign it. You can either print it and sign it by hand or attach an electronic signature. Please attach all other relevant documentation as stated in the Call.

I hereby assume responsibility for all the information provided in the Application. Furthermore, I confirm that I will inform the Agency for Mobility and EU Programmes of any changes in the provided information in a timely manner. I also confirm that I am willing to sign a non-conflict of interest statement and to carry out the assigned tasks in accordance with the instructions and the timeframe set by the Agency for Mobility and EU Programmes. 

Date:	Signature: