Enterprise Experience Programme - application form

CONTACT PERSON DETAILS

Name of the Company*:    

Title*: ---M.MissMs.Mrs.Dr.Prof.    Family Name*:   First Name*:   Function*: 

Address*:   Postal Code*:   City*: 

Country*: Please SelectAustriaBelgiumBulgariaCzech RepublicCyprusDenmarkEstoniaFranceGermanyGreeceHungaryIrelandItalyLatviaLithuaniaLuxembourgMaltaThe NetherlandsPolandPortugualRomaniaSloveniaSlovakiaSpainSuomi-FinlandSwedenUnited Kingdom

Tel*:   Fax*:   Email*:  

ENTERPRISE DETAILS

Sector of activity*: Please selectAerospace/Defence/SecurityAgriculture – Fishing, ForestryAutomotiveChemicalsConstruction and BuildingConsultancy ServicesEducation and TrainingElectronic and Electrical EquipmentEngineering and MachineryFood and Beverage ProducersFornitureIT Software and Computer ServicesLegal servicesManufacturingMaritimeMedia/CommunicationMetalsNew Media internet/e-commercePharmaceuticalPublishing and PrintRecruitmentRecyclingRetailersScience, Research and DevelopmentTextileTourismTransportWarehousing/Distribution/Logistics Associated to* EUROCHAMBRESBUSINESSEUROPEUEAPMEplease select

Specify your local Chamber of Commerce*: 

Languages used to interact with trainees*:    1st Choice:  Please selectEnglishBulgarianCzechDanishGermanGreekSpanishEstonianFinnishFrenchHungarianItalianLithuanianLatvia. LettisMalteseDutchPolishPortugueseRomanianSlovakSlovenianSwedish    2nd Choice:  Please selectEnglishBulgarianCzechDanishGermanGreekSpanishEstonianFinnishFrenchHungarianItalianLithuanianLatvia. LettisMalteseDutchPolishPortugueseRomanianSlovakSlovenianSwedish   3rd Choice:  Please selectEnglishBulgarianCzechDanishGermanGreekSpanishEstonianFinnishFrenchHungarianItalianLithuanianLatvia. LettisMalteseDutchPolishPortugueseRomanianSlovakSlovenianSwedish

Website*: 

Please write a short description of your Company:

What do you expect from this initiative?:

* mandatory fields

We ask companies seeking to join the programme to provide some personal information (e.g. the name of the company, contact person, location, address, e-mail, telephone) so that we can process your application. This information may be distributed electronically or on paper and forwarded to other participants, so as to ensure the best possible implementation of the programme. The name and location of the company may also be given to the local, national and EU press, to ensure communication and publicity for the scheme.

If you wish your personal data not to appear in any documents and not to be distributed to the press, please tick here: 

This registration procedure is subject to data protection rules. You are entitled to access, modify, rectify or delete any personal information (to exercise this right, please contact us.)