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Application form

CKKMIP 2026

Application form

IN THE SCOPE OF COOPERATION REGARDING OBTAINING CO-FINANCING
TO PARTICIPATE IN THE TSR TRAINING

KANDYDAT:

TRAINING SELECTION

Select the training (s) you are interested in (you can select more than one option):

CANDIDATE DATA REQUIRED TO VERIFY FUNDING PROGRAMME AVAILABILITY

PLACE OF RESIDENCE
ZATRUDNIENIE I EDUKACJA

§ 1. OBLIGATIONS OF CKKMIP (THE SERVICE PROVIDER)

The Service Provider undertakes to provide the following services:

  1. Verification of the availability of co-financing programs suitable for the Candidate
  2. Providing comprehensive consultations regarding the application procedure
  3. Assistance in the preparation of the application for co-financing, including, for example:
    • instructions for completing the forms
    • verification of completeness of documents
    • optionally completing the application on behalf of the Candidate
  4. Contact with the Co-financing Programme Operator on behalf of the Candidate
  5. Implementation of the training in accordance with the service card in BUR and the Regulations

§ 2. CANDIDATE'S OBLIGATIONS

In the scope of cooperation regarding obtaining co-financing:

The candidate undertakes to:

  1. Timely delivery of documents and information required for the application (within the time limit indicated by the Service Provider, not longer than 3 working days from the request)
  2. Provide true and complete information
  3. Remaining in regular contact with the Service Provider:
    • email response: maximum 2 business days
    • response to phone calls: within 24 hours (call back or call back)
UWAGA: The above time limits do not apply to documented unforeseen circumstances (illness, accident, events beyond the Candidate's control). If the time limits are exceeded for unforeseen reasons, the Candidate is obliged to inform the Service Provider of the situation without delay and to provide documentation (e.g. a sick note).
UZASADNIENIE: Due to the often very short deadlines set by the Operators (decisions within hours, the need to urgently send explanations or documents), the lack of a quick response may make it impossible to receive funding.

§ 3. RAMOWE ETAPY REALIZACJI

STAGE I – Verification (indicative 3-10 days from notification)

  • The Service Provider verifies the availability of funding programmes

STAGE II A – No programs available

  • The Service Provider informs the Candidate
  • The candidate may: a) wait for the program to appear, b) terminate the cooperation without consequences
  • Umowa wygasa bezkosztowo (nie wymaga wypowiedzenia)

STAGE II B – Program available – Application (indicative 7-30 days)

  • Signing the agreement with the Service Provider
  • The Service Provider helps prepare the application
  • Candidate provides documents and information
  • The deadline depends on the requirements of a given co-financing program

STAGE III – Operator's Decision (14 days to 6 weeks or more)

  • Positive → transition to STAGE IV
  • Negative → contract expires
  • Positive, but with an actual value below 50% of the value of the development service → the Candidate's decision to proceed to STAGE IV or cost-free expiry

STAGE IV – Implementation of the training

  • Signing a contract with the Co-financing Programme Operator
  • The Candidate becomes a Participant upon jointly meeting the conditions of point 19 of the Regulations: correct sign-up for the service in BUR using the support ID, conclusion of this Agreement and approval of the sign-up by the Service Provider in the service card. Sign-up in BUR is not equivalent to admission to the service – the Service Provider may reject or cancel it, in particular if there are no places available or the participation requirements are not met.
  • Implementation of the service in accordance with the Regulations, the agreement with the Operator and the service card in BUR

§ 4. CONTINUATION OF COOPERATION

Optional continuation of cooperation after a negative decision or in the absence of an available program:

In the absence of an available program or after receiving a negative decision on co-financing, the Candidate may agree to continue this cooperation in order to re-submit an application for co-financing under another program or at a different date, until the Candidate's participation in the CKKMIP training with co-financing is finalised.

Try one of the options below:

§ 5. PERSONAL DATA AND CONSENT

5.1 Data Controller:

The administrator of the Candidate's personal data is the Medical Staff Training and Psychotherapy Center Sp. z o. o., ul. Wisełki 57, 04-830 Warszawa, KRS: 0001189925.

5.2 Podstawa i cel przetwarzania:

Personal data are processed on the basis of: Article 6(1)(b) GDPR (taking steps prior to entering into the agreement and its performance), point (c) (legal obligation), point (f) (pursuit of claims), and, with regard to information about training courses – point (a) (consent).

5. Data recipients

Data may be shared with: funding programme Operators, PARP, control and audit institutions, providers of accounting, IT or consulting services related to funding, and the body conducting the validation of training participants.

5.4 Candidate's rights:

The candidate has the right to access their data, rectify it, delete it, limit processing, transfer data and raise an objection. The candidate has the right to lodge a complaint with the President of the Office for Personal Data Protection.

6 FINAL PROVISIONS

6.1 Before accepting the form, please read the CKKMIP Development Services Regulations.

6.2 Information – on the possibility of obtaining a certificate from an external certifying institution on the basis of the validation result – is provided by the Service Provider separately to interested Participants.

6.3 The Parties jointly declare that they are not related to each other personally or by capital. Personal or capital links are understood as mutual links between the Service Provider and the Candidate consisting in particular in: a) participating in a company as a partner in a civil-law partnership or a partnership; b) holding at least 10% of shares or stock; c) serving as a member of a supervisory or management body, a commercial proxy or an attorney; d) being in a legal or factual relationship that may give rise to reasonable doubts as to the impartiality of the choice of contractor, in particular being married, related by blood or by affinity in a direct line, related by blood or by affinity to the second degree in a collateral line, or being in a relationship of adoption, custody or guardianship.

§ 7. AUTENTYKACJA KANDYDATA

Starting cooperation requires sending an application form and confirming your identity by making a transfer 1 PLN (in words: one zloty) from the personal bank account of the Candidate to the account number:

Odbiorca: CKKMIP Sp. z o.o.
Nr konta: 88 1140 2004 0000 3302 8604 0768 (mBank)
Dopisek: "identity confirmation – name and surname"

realizacja i marketing: Damian Nowaczek