University of A Coruña  UDC POSTGRADUATE COURSE IN GERONTOLOGY AND GERIATRIC ASSESSMENT AND INTERVENTION
 UNIVERSITY OF A CORUÑA 2019/20
 APPLICATION FORM

 APPLICATION: INFO AND DOCS

INFORMATION:

Should you e-apply either for the Master in gerontology and geriatric Assessment and Intervention , please fill the following application form and send it to us by e-mail. In addition you shall send the rest of the required documents (post or hand deliver). Once received your application form, we will send you an e-mail confirming its reception. Your application will be considered once we receive the remaining documents.

University of A Coruña
Faculty of Health Sciences
Research Group in Gerontology
UDC Postgraduate Course in Gerontology and Geriatric Assessment and Intervention
Oza University Building
Oza Campus, E-15006, A Coruña, Galicia, NW Spain
Telephone: (+34) 981 167 000 x 5865. Fax: (+34) 981 167 120
E-mail: admongig@udc.es
Website: http://gerontologia.udc.es

 REQUIRED DOCUMENTS:

Please send us by post or hand deliver the following items

ID copy  1 copy of your ID
???page.postgrado.preinscripcion.altDocumentacionFotos???  1 recent passport picture
University degree  Copy of your university degree (or official document stating you have applied for it)
Administration fee  €150 administration fee. This sum is returned to you if you are not successful in your application. Provide us with a copy of the bank (ABanca) receipt (IBAN, nº: ES04 2080 0000 70 3040163391. Please ask the clerk to fill in the field "CONCEPTO" with the following text: UDC Postgraduate Course in Gerontology and Geriatric Assessment and Intervention.

 COURSE

MASTER IN GERONTOLOGY AND GERIATRIC ASSESSMENT AND INTERVENTION

 

 PERSONAL DATA (* Datos obligatorios para completar la preinscripción)

LAST NAME*      2ND LAST NAME (SHOULD YOU HAVE ONE)*  
FIRST NAME (should you have a middle name, write it as well)*      ID number*  
BIRTHDATE*   / /    PLACE OF BIRTH  
ADDRESS*      ZIP CODE*  
TOWN*      COUNTY*      TELEPHONE NUMBER*  
COUNTRY*      CURRENTLY WORKING AS  
E-MAIL (mandatory)*  

 ACADEMIC DEGREES (* Datos obligatorios para completar la preinscripción)

DEGREE DATE OF RECEPTION
1:  (De acceso al Postgrado)*   / /
2:    / /
3:    / /

 PROFESSIONAL EXPERIENCE

WORKING AS TIME-SPAN
1:   
2:   
3:   
4:   
5:   

 CURRENTLY WORKING AS

WORKING AS STARTING DATE
1:    / /
2:    / /

 OTHER MERITS RELATED TO GERONTOLOGY AND GERIATRICS

EVENT CREDITS
1:   
2:   
3:   
4:   
5:   

  Terms and conditions: the head of the course has the right to modify and change any issue or content related to it, aiming at the achievement of a higher quality of education.