ITACA.SB internship application form

Internship application form

N.B.: a supporting letter from your supervisor is required (PDF only, max 10MB)
Your personal data will not be shared with any third party, except as required for legal processing
How did you hear about this opportunity?*

ITACA.SB websiteLinkedInAIC mailing listCCP4 mailing listCCPEM mailing listConferenceOther
Applicant Name*

First NameMiddle NameLast Name
Birth Date*

DayMonthYear
Gender*
Necessary to guarantee an even gender balance
Nationality*
Additional nationality
If any
Applicant E-mail*
Institutional e-mail only
Mobile Number*

Area CodePhone Number
Your current position*
Field of study*
Affiliation*

University or Research center

Department or Institute

CityState

Zip CodeCountry
What technique are you applying for?*
As 1st-choice
Alternative, if 1st-choice unavailable
As 2nd-choice
Describe your expertise and explain why this internship is important to you *
Your Supervisor*
Title and full name
Please upload a supporting letter from your supervisor (PDF only, max 10MB)*

Ensure the letter includes supervisor’s full name, title, contact details, and institutional affiliation
Cancelof
What your notice period*
in weeks
Should be Empty:

Internship application form