Clinic Joven Emprenda :: registration from entrepreneurs

emprendedor

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Registration

Desde este formulario puede inscribirse en el Clinic Joven Emprenda.

1. Personal data

Name: *

Surname: *

ID Number: *

Date of birth: * de de

Gender:*

Address: *

City: *

Postal code: *

Province: *

Nationality: *

Mobile:

Telephone:

E-mail address: *

Driving license: *

Car owner: *

Availability: *

Photograph:

(en formato JPG y con un tamaño máximo de 100 Kb)

2. Type of Entrepreneurship

Type:

Indicate the type of project, cause or association

3. Education

A)) Currently studying

University Degree:

Training Courses:

(chose the highest level course you are registered for)

B) Completed studies

Degree 1:

Year Finished:

Degree 2:

Year Finished:

4. Computing knowledge

A) Programas

WINDOWS None Basic user Average user Advanced user

WORD None Basic user Average user Advanced user

EXCEL None Basic user Average user Advanced user

ACCESS None Basic user Average user Advanced user

POWERPOINT None Basic user Average user Advanced user

INTERNET None Basic user Average user Advanced user

AUTOCAD None Basic user Average user Advanced user

PHOTOSHOP None Basic user Average user Advanced user

DREAMWEAVER None Basic user Average user Advanced user

WINDOWS SERVER None Basic user Average user Advanced user

Other programmes:

(Max 255 characters)

B) Other computing knowledge

Other knowledge not included in previous sections:

5. Idiomas

Language 1

Language:

Spoken:

Written:

Official Certificates:

Language 2

Language:

Spoken:

Written:

Official Certificates:

Language 1

Language:

Spoken:

Written:

Official Certificates:

6. Additional Training

Additional Training 1

Type:

Name:

Nr. of hours:

Year:

Additional Training 2

Type:

Name:

Nr. of hours:

Year:

Additional Training 3

Type:

Name:

Nr. of hours:

Year:

7. Professional experience/Trainee programmes (only in your professional area of expertise)

Professional Experience 1

Company:

Starting date: de

Finishing date: de

Developed tasks :

(max 255 characters)

Professional Experience 2

Company:

Starting date: de

Finishing date: de

Developed tasks:

(max 255 characters)

Professional Experience 3

Company:

Starting date: de

Finishing date: de

Developed tasks:

(max 255 characters)

Professional Experience 4

Company:

Starting date: de

Finishing date: de

Developed tasks:

(max 255 characters)

Professional Experience 5

Company:

Starting date: de

Finishing date: de

Developed tasks:

(max 255 characters)

8. Educación emprendedora

¿Ha realizado en los últimos años algún tipo de educación emprendedora?

  Taller Empresarios Valnalón
  EJE
  La empresa va a la escuela
  Programas en la Universidad
otros (especificar):

9. Evaluation

How did you know about Clinic Joven Emprend@?

   Through the institutional web
   A participant of previous editions recommended me the program
   A friend of mine recommended me the program
University of Oviedo
Centro de Empresas
FADE Asturian Federation of Entrepreneurs
AJE Young Enterpreneurs Association
Chambers of Comerce
Another one: which one? :
If it is appropriate, please, indicate us who person or institution recommend your candidature..

10. Additional information

Brief description of additional information:

I accept the privacy policy

NOTA: los datos marcados con (*) deben ser rellenados obligatoriamente

PRIVACY POLICY. According to the Spanish Organic Act 15/1999, dated 13th of December, de for the Personal Data Protection, Asturias Emprend@ Association, located in C/ Cabo Noval, 8, 1º Dcha, 33007 de Oviedo (Asturias), informs you that your personal data have been legally obtained, and that they have been included in an automatic file owned by the before mentioned association. Asturias Emprend@ shall implement the necessary technical, organising and safety measures to guarantee the confidentiality and integrity of the information given, as well as its compliance with the current legislation. The objective of this data storing is to allow users to take part in the selection process for the Clinic Joven Emprend@ 2008. Data will not be shared with third parties, unless this is mentioned before the data are requested. In this case, the user shall be informed of the body to which the data will be transferred, as well as de aim of this transfer. Should the user not include the personal data, their application shall not be valid. This does not breach your rights to freely access, modify, cancel and reject the given data, as stated in the Organic Act 15/1999. This shall be done in written and shall be presented to the Asturias Emprend@ Association, either personally o by registered mail to the before mentioned address

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