CCES Winter School

CCES Winter School "Science Meets Practice" 2013

January 7-10 and February 4-7, 2013
Full Name

First NameLast Name
E-mail
Birth Date

MonthDayYear
Nationality
Address for Correspondence
Phone Number

Area CodePhone Number
Mobile Phone Number

Area CodePhone Number
Name and Address of University or Employer
Topic of Dissertation
Dissertation Year
Please upload your electronic CV showing most important educational and professional qualifications

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Relevant extracurricular activities
Please upload a short letter of recommendation by supervisor

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The language of instruction is English. Understanding of German is an asset; stakeholder meetings are held in local language. Which languages do you speak/ understand?

EnglishGermanFrenchItalianOther
Other languages / comments about language
Personal statement on motivation to participate in the CCES Winter School "Science Meets Practice"
Potentially interesting stakeholders to be invited for stakeholder meetings during Winter School
Details of any special dietary requirements
Any accommodation issues you wish the organizers to be aware of
Any other detail which you think may be relevant
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CCES Winter School "Science Meets Practice" 2013