2016 Application form

PERSONAL INFORMATION

Surname

Name

Citizenship

Date of birth (format dd-mm-yyyy)

Place of birth

Sex
 Male Female

Passport Number

Current Address

Telephone

Email

Personal Homepage

INFORMATION ABOUT STUDIES / PROFESSIONAL INFORMATION

Level of Study
 Master PHD

Academic career and degrees received, with dates and Universities

MA or PhD thesis title (if relevant)

Other educational experiences related to the theme of this winter school (max 250 words)

Work experience related to current studies (if relevant, max 250 words)

Native language(s)

Language of instruction at home institution (if different)

Level of English
 Intermediate Upper intermediate Advanced

International certifications of English language level (max 250 words)

Other languages spoken

If you are a PhD or MA student doing research on a theme related to the winter school and would like to present your research, please write an abstract of max. 250 words. Some sessions of the winter school will be dedicated to the presentation and discussion of participants’ projects and senior researchers will comment. You will be asked for an extended abstract two weeks prior to the winter school

REFEREE

Please indicate the person you have asked to write a letter of recommendation for you. The letter of recommendation should preferably be from academic contacts (teachers, supervisors). The letter is
to be printed on letterhead and signed.

Referee Name

Referee Title

Referee Organization

Referee Telephone

Referee Fax number

Referee Email

APPLICATION FOR SCHOLARSHIP

Participants from Algeria, Egypt, Jordan, Lebanon, Libya, Morocco, Palestinian territories, Syria, Tunisia are eligible to apply for a Winter School scholarship.

Please state whether you are interested in applying for a scholarship by ticking on the relevant box.
 I hereby apply for the Winter School scholarship I do NOT wish to apply for the Winter School scholarship

SURVEY

Please fill in this short survey to help us to update and maintain our information.
 Via the Winter School website Via mailing list of professional/educational association (please specify)

 Other (please specify)

CHECKLIST

Copy of most recent university degree (pdf, jpg, jpeg only - max 5Mb)

English translation of degree certificate (pdf, jpg, jpeg only - max 5Mb)

Up-to-date curriculum vitae (max. 3 sides) (pdf, jpg, jpeg only - max 5Mb)

One letter of reference (pdf, jpg, jpeg only - max 5Mb)

Motivation letter (pdf, jpg, jpeg only - max 5Mb)

Clear copy of passport (pdf, jpg, jpeg only - max 5Mb)

ANTISPAM

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