Erasmus Application

Erasmus application - Universidad de Navarra
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Please upload a letter signed by your Dean/Mobility coordinator stating that you are currently enrolled at your university and in good academic standing. *

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Please upload a certificate of criminal record and child abuse clearance.

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Please upload an official transcript of records in Spanish or English.

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Please upload a photocopy of the official certificate of Spanish language level B2 (if a student´s first language is not Spanish) *

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COMMITMENT TO CONFIDENTIALITY BY CLINICAL INTERNSHIP STUDENT

As a student in the Faculty of Medicine at the Universidad de Navarra,

I DECLARE THAT:

1.    I know my legal and professional duty to keep secret all personal data and confidential information that, during the course of my internship, I may come to know or notice, about people who are being attended to or who are present in the medical centres in which I am carrying out my clinical work experience.

2.    I know that maintaining confidentiality is a condition that is imposed upon me as a result of certain fundamental ethical requirements, such as, respect for every person, complying with the rights of patients, loyalty towards others and towards the institutions that are involved in my training, and the specific training that I must acquire in order to fulfil - as a future member of the medical profession - the responsibilities contained in the ethical professional code of the medical profession.

Consequently,

I PROMISE:

a.     Not to reveal to anybody what I see, hear or deduce during my internship.

b.    To follow the norms about secrecy, data security and confidentiality that are currently in place in the Clínica Universidad de Navarra or in the health institutions where I carry out my clinical work experience, that have been transmitted to me, and that I understand. I will respect these norms both during my stay at and after finishing my period of academic relationship with the Faculty of Medicine at the Universidad de Navarra.

c.     To adopt all the security measures necessary and demanded by the Clínica Universidad de Navarra or other health institutions with regard to the information, irrespective of the medium in which such information is contained, that I manage in the process of carrying out my activities.

d.    Not to access information that is not authorized to me, nor to provide anybody else with passwords or access keys that have been given to me for my exclusive use in relation to the performance of my activity in the Clínica Universidad de Navarra and/or other health institutions.

e.     If at any time I find myself obliged to reveal information for legal or professional reasons, only to reveal information to those to whom it is necessary to reveal information and only to reveal as much confidential information as absolutely necessary.

By way of demonstration that I freely accept and agree to what has been indicated in this document, I sign it and deliver it to the Office of International Relations of the Faculty of Medicine.
Signature by the student *

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DECLARATION OF VERACITY OF DOCUMENTATION

I DECLARE UNDER OATH AND PROMISE:

1 That the information about academic and other achievements, merits and circumstances - whether part of my curriculum vitae or elsewhere - that I have given to the Faculty of Medicine of the Universidad de Navarra in order to carry out clinical rotation is truthful. If it is necessary, and the Universidad de Navarra makes the request, I promise to provide documentary proof of the above-mentioned information in as short a time as possible.

2 That I will compensate the Universidad de Navarra for any damage that may arise from a lack of veracity in the information or from falsification of data in the information described in the previous paragraph.

3 That I am aware that lack of exactitude in, lack of veracity in, or falsification of the information that I have provided can imply legal responsibilities and/or consequences of various kinds.

By signing this document, I confirm that I agree with the content and recognize the legal validity of this document.
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Erasmus application - Universidad de Navarra