ALPINE SUMMER SCHOOL
Course 2016
Cross-Scale Interactions in the Coupled Geosphere-Biosphere System

Application Form

Deadline April 30th, 2016

Please fill out this application and submit it on-line.

We strongly encourage you to send us an on-line application E-mail or hardcopy applications will be acceptable if the online procedure is not accessible to you.

Recommendation letters are not required if you only apply for admission to the school, but they are necessary if you are applying for financial support. However, the availability of financial support is not guaranteed at the moment. Referees may provide letters either as hardcopy or by e-mail to the scientific secretary.


General Information

Title:

First Name

Last Name

Nationality

Date of birth

Male Female

Institution Name and Address

Address for reply


Reply phone number

Reply FAX number

Reply Email address

Have you applied to the Alpine Summer School in the past? Yes No

Present position and field of research

Short Curriculum Vitae (including graduate and undergraduate education)

References of published or accepted works (10 maximum)

Names and institutions of two referees:

What benefits do you expect to derive from attending the school?


Do you need a partial financial support from the school (not guaranteed)?
(Please answer 'Yes' only if financial support would be crucial for your participation in the school)   Yes No

If yes, please provide motivations for your financial support request (only requests with strong motivations will be taken into account)

If you apply for financial support, please remember that you are expected to send two recommendation letters by your referees. Please make sure that letters are sent directly to the scientific secretary, to arrive by the set deadline of April 30th, 2016.


Accomodation Information

Date of arrival (Lectures will start in the early morning of June 15th, 2016 - we recommend you to arrive on June 14th, bus transport will be organized from Torino)

Date of departure (Lectures will end in the afternoon of June 24th - bus transport to airport/train station in Torino will leave in the early morning of Junu 25th.)

Preferred accomodation: Single room (if available) Double room (shared)

'Do you prefer vegetarian meals? yes no

I will be accompanied by
(accompanying persons who are not going to attend the lectures)

I wish to share my room with
(either an accompanying person or another participant)


If you need more information please contact the scientific secretary:
Ilaria Baneschi
IGG-CNR
Via Giuseppe Moruzzi, 1 - 56124 Pisa, Italy

Fax: +39 0503152323
E-mail:

To send the application form now, click the Registration button below.

A confirmation e-mail will be automatically sent back to you. If this doesn't happen, probably your browser is misconfigured or something else went wrong and you should contact the Scientific Secretary by email.

Warning: by clicking the "Registration" button, all data on this page will be sent to the Scientific Secretary. By sending Your personal information, You authorize the School Scientific Secretary to handle it according to the Italian Privacy Law D.lgs. 196/2003.

  

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