JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Application Form - SMR Summer School: "Death, Movement, Change and Transformation: The Domain of Matter"
The Summer Institute of SMR in Olympiada Greece with John Ó Maoilearca, Thomas Nail and
Joel White
,
and Jonathan Fardy as invited lecturer
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
2. PERSONAL DATA
Family name:
*
Your answer
First name:
*
Your answer
Date of birth:
*
MM
/
DD
/
YYYY
Academic degree:
*
Your answer
Citizenship or place of permanent residence :
*
Your answer
Organization membership/affiliation (optional):
Your answer
3. PROFESSIONAL/ACADEMIC DATA
University/Institution:
*
Your answer
Faculty:
*
Your answer
Department:
*
Your answer
Areas of Specialization:
*
Your answer
Status (Faculty/Student) :
*
Your answer
Independent Scholar
*
Your answer
Please indicate what is your interest in the summer school program
*
Your answer
5. Please write a short academic bio (Approximately 200 words):
*
Your answer
6. Contact Information:
E-mail:
*
Your answer
Address: (optional):
Your answer
Phone (optional):
Your answer
Do you wish to pay on installment plan
Yes
No
Clear selection
Opting out from
Sustenance package for the week provided by the Organizer/ I will arrange my accommodation, meals etc., and pay the participation fee only (See the Call for details)
Onsite participation/I will attend online only, according to the terms stated in the call.
Clear selection
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
