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REGISTRATION FORM | ILS 2020-21
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ILS Innovative Learning Spaces
 Nome | Name *
Cognome | Surname *
Sesso | Sex
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Luogo di nascita | Birth place *
Data di nascita | Birth data *
MM
/
DD
/
YYYY
email *
Telefono | Telephone/mobile *
Città | Town *
Paese | Country *
Professione | Job *
Università o Organizzazione | University or Organization
Richiesta di iscrizione | Registration fee *
Modalità di partecipazione | Mode of attendance *
Breve cv max 1000 caratteri | Short cv max 1000 characters *
Lettera motivazionale max 1000 caratteri | Cover letter max 1000 characters *
Liberatoria | Statement
Autorizzo la condivisione dei miei contatti personali (mail e telefono) con gli altri iscritti alla Scientific School per soli scopi organizzativi e logistici.

I hereby authorize the ILS organization office to share my personal contacts (e-mail address and telephone number) with other members of the school for organizational and logistic purposes only.

*
Liberatoria | Statement
Autorizzo il trattamento dei miei dati personali ai sensi dell’art. 13 Dlgs 196 del 30 giugno 2003 e dell’art. 13 GDPR (Regolamento UE 2016/679) ai fini della partecipazione alla Scientific School ILS 2020.

In compliance with the Italian legislative Decree no. 196 dated 30/06/2003 and GDPR (EU Regulation 2016/679), I hereby authorize you to use and process my personal details contained in this document for participation in ILS Scientific School 2020-21.

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