Project funded under FP7
Contract number: 217190
Programme: Cooperation
Instrument: CSA (Support)

Summer School Application

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Family Name *

First Name *

Title

Position

Organisation

Street,No. *

Postal code *

City *

Country *

Phone

Fax

E-mail *

Website

Date of birth *

Place of birth

Relevant Experience
Please give details of any professional and relevant experience or employment (include vacation work only if relevant). Give details also of any experience or training in advanced study or research, including publications and practical experience.
From	To	Position held	Name of employer	Address of employer

Education and Qualification
University or institution attended	Date		Subject(s) of study	Qualification	Result grade	Date obtained or expected
University or institution attended	from	to	Subject(s) of study	Qualification	Result grade	Date obtained or expected

Declaration of interest (doc/pdf)

Please state the reasons for participating in summer school, highlighted the importance of it in developing their career, the research topics and / or thesis work developed by the applicant. (not to exceed five pages).

References Name

References Email

Reference attachment (doc/pdf)

Summer School Application

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