Registration

Please fill out the form to sign up for the Math Summer Camp.

Parent information

Parent's full name

Parent's NIF or NIE

Parent's e-mail

Parent's phone number

Student information

Student's full name

Student's NIF or NIE

Student's birthdate

Dia / Mes / Any

Student's e-mail

Student's phone number

Current studies

Last 2 year's grades Please attach a document with the student's grades of the past two years.

(Optional) Other certificates Please attach other certificates related to complementary activities.

(Optional) Letter of recommendation Please attach a letter of recommendation from a high school teacher.

Family's residence

Autonomous community

Province

Town

Postal code

Address

High school information

Mark this checkbox if the school's community, province or town are different from those of the family's residence.

High school name

High school postal code

High school address

Other

Observations Free field, you may add any merits as well as overall observations.

Como padre, madre o tutor del estudiante, doy mi consentimiento a la UPC para el tratamiento de los datos de carácter personal recogidos en este formulario, tal como se describe en este documento.

Consentimiento

Acepto

Càtedra Mir-Puig

≡ Registration

Registration