Application Form Summer Academy

Application Form

Summer Academy 2019

1. Basic Information
Name*

First nameLast name
Academic Title
Current Institution*
Discipline(s)*
Sex (optional)
Place of birth*
Date of birth*

MonthDayYear
Nationality*
E-Mail address*
Phone number*

Country CodeNumber
Mailing address*

Street name and number

Additional Information (e.g. Building or complex no., housing name etc.):

CityState

PostcodeCountry

2. Academic Background
Tell us about your higher education and professional experiences.*
Please list your publications (max. 5).
Which languages do you speak?

3. Current Research
Please provide us with two references. Note: The referees will be contacted by the selection committee only if necessary.
Name the geographical focus of your research [continent(s) or region(s)]
Title of current research
Current research project you apply with and its relevance to the Summer Academy (max. 7800 characters)

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