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Application form
Studia Podyplomowe
Dietetyka spersonalizowana z elementami nutrigenomiki – aspekt praktyczny
Studia podyplomowe dla Osoby Wykwalifikowanej – Qualified Person
Elementy metodologii badań empirycznych w medycynie i zastosowania statystyki w badaniach biomedycznych
Zarządzanie w systemie ochrony zdrowia z elementami prawa medycznego
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Edukator zdrowotny w zakresie cukrzycy, otyłości i innych chorób przewlekłych
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Studia podyplomowe z Medycyny Estetycznej, Żywienia i Anti-anging – REKRUTACJA OTWARTA
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Nowoczesne projekty badawcze – metodologia, prowadzenie i nadzór badań klinicznych
Opieka nad pacjentem w aptece ogólnodostępnej – elementy praktyki klinicznej
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Application form
Application form
Application form for graduates interested in taking part in the 6-month practical training corresponding to the clinical part of post-graduate internship.
Student data
(wymagane)
Surname
Name
mul student or not
(wymagane)
MUL student
Other university student
MUL student number
(wymagane)
Obtained professional title:
(wymagane)
doctor
dentist
Year of obtaining the title above
(wymagane)
DD
DD
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
month
month
1
2
3
4
5
6
7
8
9
10
11
12
year
year
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
e-mail address (with @umed domain)
(wymagane)
e-mail address (private)
I declare that I fullfill all the criteria necessary to undergo the internship:
(wymagane)
I have graduated from the Medical University of Lodz in a language other than Polish and have not as yet completed the post-graduate internship
(wymagane)
I will begin the internship no later than within two years from receiving the professional title of a doctor or a dentist
(wymagane)
I will provide all necessary documents required in the recruitment process
I will purchase and present valid civil liability (OC) and personal accident insurance (NNW), extended with additional benefits for professional exposure related to potential contact with biological agents, covering the entire internship period
(wymagane)
I will perform mandatory tests and provide a medical certificate issued by a doctor authorized to conduct preventive examinations
(wymagane)
I will comply with the provisions of the contract, including paying a one-time fee for practical training in the amount and on the terms and conditions specified in the contract
General information on personal data protection at the Medical University of Łódź
Based on Art. 13 item 1 and item 2 of the regulations implemented by the European Parliament and the European Union Council 2016/679 of 27th April, 2016 on the protection of individuals with regard of personal data protection and on the free movement of such data, and repealing Directive 95/46/WE (general data protection regulation), the Medical University of Łódź hereby informs of the following:
The administrator of your personal data is the Medical University of Łódź, located in Aleja T. Kościuszki 4, postal code: 90-419 Łódź, phone number: 422725803, tax identification number (NIP): 725 18 43 739, national business registry number (REGON): 473 073 308.
Any contact with the Data Protection Officer is possible via the following e-mail address: iod@umed.lodz.pl.
Your personal data will be processed in order to:
execution of the contract for practical training - based on Art. 6 item 1 letter b. of the general data protection regulation,
realization of the practical training session organized by the Medical University of Łódź as a part of post-graduate education – based on Art. 6 item 1 letters c. and e. of the general data protection regulation,
perform reporting and archiving purposes – based on Art. 6 item 1 letter c. of the general data protection regulation,
provide current information related to the recruitment procedure, the course of practical training and the educational process (e.g. via SMS or e-mail) - pursuant to Art. 6 item 1 letters a and f of the general data protection regulation,
establish, pursue and secure any potential claims and defend against such claims - pursuant to Art. 6 item 1 letter f of the General Data Protection Regulation,
provide information on the activities of the University, including information on the recruitment for the newly opened post-graduate studies and other organized courses - based on Art. 6 item 1 letter a. of the general data protection regulation;
Your personal data may be revealed only to the persons that are authorized to process personal data on the basis of legal regulations
Your personal data will be stored for the period of time necessary to achieve the purposes of processing, resulting from the applicable legal regulations and the internal regulations of the administrator;
You have the right to access your data in order to verify it, remove it, limit access to processing it, you also have the right to object to processing it or to transfer it;
You have the right to lodge a complaint to the supervising body should you reach the conclusion that the Medical University of Łódź is processing your data in a manner that is not compliant with the general regulations concerning personal data protection
There is no automated decision making or profiling during data processing for the purposes of post-graduate training sessions organized by the Medical University of Łódź;
Providing your personal data is voluntary, however, it shall not be possible to apply for courses organized by the Medical University of Łódź as part of post-graduate education without it.
declaration
(wymagane)
I hereby declare that I have read and understood the above-mentioned GDPR legal disclaimer.
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