Scientix 9th Science Projects Workshop at the Future Classroom Lab
Target audience: HEADS OF SCHOOLS

Application form.

We will selecting the 30 heads of schools from among all applicants, taking into account:
* A fair distribution of places by country of origin.
* First requests will have more chances of being selected.
* Heads of teachers new to EU STEM projects are specially encouraged to apply.

Maximum number of places: 30
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Application form (event will take place in Brussels, from Friday 06 to Sunday 08 of November, 2015)
Schedule:
Friday: 19:30 - 21:30
Saturday: 8:30 - 21:30
Sunday: 9:00 - 14:00
Gender *
First Name (e.g. John) *
Exactly like in the passport (if you have two names, include both!)
Surname(s) (e.g. Smith) *
Exactly like in the passport. (If you are Spanish or Portuguese, include ALL surnames!)
Email *
Make sure to write it correctly
You are *
Name of the school (if Head or Deputy Head of School) OR Region if (Inspector) *
Country *
Where your school is based
City, town, village, where the school is based *
Age of the studens in your school
Sujects taught in your school *
Required
Number of STEM teachers in your school *
STEM: Science (including Physics, Chemistry, Biology...), Technology, Engineer, Mathematics
Scientix international events you have already attended *
Required
Please explain briefly 1) your job title; 2) your tasks / obligations as a Headmaster; 3) why would you like to attend this event *
Please explain briefly how did you find out about this event *
Terms and conditions *
yes
no
I understand that ONLY invited participants will be contacted by 21 Oct via email
I understand that if I am selected, I will need to confirm attendance within 48 hours of receiving the email
I understand European Schoolnet will not enter into any discussion on the results of the selection of teachers
I understand travel/medical insurance is at my own expense and if I fail to attend workshop, after confirming attendance, I will have to reimburse the travel costs
I understand the list of participants will be published online (only name, surname and country)
I understand that European Schoolnet will organize and pay for the flights, accommodation from Friday to Sunday (2 nights) and all meals from dinner on Friday until Sunday lunch. Any other costs like to/from airport, local transport and/or travel insurance is at the participants' expense
I understand European Schoolnet will not reimburse any airline tickets purchased individually.
I understand that to process my application, collection and storage of personal data (name, surname, email address) is necessary. Access to this information is strictly limited to EUN Partnership AISBL and will only be used for this specific purpose. EUN Partnership AISBL will have access to account information provided by the user and can modify and/or delete information upon request.
I understand that during this event, pictures and video might be taken and used for dissemination of Scientix and/or European Schoolnet activities, and give my consent
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