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Europlanet 2019 summer school
Application form
General information
Name/Surname *
Your answer
Who are you?
Gender (info for accomodation)
Nationality *
Your answer
Date of birth
MM
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DD
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YYYY
Education
Educational institution *
If you are student, post-doc or researcher, please, write the affiliation here. If you are an amateur, please, write the institution where you got or will get any degree.
Your answer
Field of study *
If you are a student, post-doc or researcher, please, indicate your field. If you are an amateur astronomer, please specify your field of interest
Your answer
Last obtained degree (B. Sc. / PhD, etc)
Honors, Mark/Grade or awards if applicable
Your answer
Year of start of University education
Amateurs, please, specify when you started your active interest in astronomy
Your answer
Title of diploma thesis/Project work (if applicable)
Amateurs, please, specify the field of your active interest in astronomy.
Your answer
Title of poster to be presented at the summer school
All participants, researchers and amateurs are welcome to present a poster about their activities. Researchers could present a poster about their work. Amateurs could also present a poster about their activities. Maybe you are astro-photographer? You could to share your experience and techniques with everyone. Maybe you make your own observations? Tell us about it. Maybe you do the outreach?
Your answer
Two referees
This is ONLY for students. Please name two referees Please DO NOT send recommendation letters, we will contact the referees ourselves in case we need. Name/Affiliation/Phone/E-mail
Your answer
Personal information
Address
Your answer
Postcode/Zip
Your answer
City *
Your answer
Country *
Your answer
Phone *
Preferably, the mobile phone, that you will have during the school
Your answer
e-mail *
Your answer
Short Curriculum vitae *
Please, add here your short CV. You can copy/paste the text of the current CV, if you have one.
Your answer
Why you want to attend the summer school *
Short description (max 5 sentences) of why you want to attend the summer school
Your answer
Publication list
If you are an amateur, this field is not required for you. However, you could provide some links that describe your amateur activities. Maybe you have your web-page, blog, picture gallery, some outreach papers or even scientific papers that are available on-line?
Your answer
What is your estimated travel cost to Lithuania
Please, check online the typical price for plane tickets or international on-ground transpostation to the venue.
Your answer
Would you like to sign up to receive information on Europlanet activities? *
Would you like to sign up to receive information on Europlanet outreach activities? *
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