Registration

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Registration

Thank you for your interest in joining us. This form will guide you through the registration process.

Please fill out the form with your accurate and complete information as it will be used for all official communications, including the issuance of payment instructions and confirmation of your registration.

Note for National PhD Program Participants XXXIX cycle: If you are currently enrolled in the National PhD Program in the Health and Life Sciences area for the XXXIX cycle, your registration fee is null as part of this program's benefits. Consequently, you will not receive any payment instructions following this form.

If you are a PhD Student affiliated to a Swedish university and want to apply for the Lerici Scholarship, make sure you also fill out the "Special Sponsorship by the C.M. Lerici Foundation" form.

If you are a PhD student affiliated with the Institutions of the Heal Italia Foundation or you are a PhD student part of the Italian National PhD Program in Precision Medicine and want to apply for the HEAL Scholarship, make sure you also fill out the "Special Sponsorship by the Heal Italia Foundation" form.

Email *

Full Name *

Phone Number
*

Affiliation (University/Organization/Company)
*

Is your Affiliation Università Campus Bio-medico di Roma (UCBM)? *

Yes

Position/Title (e.g., Student, Professor, Researcher, Industry Professional)
*

Field of Study or Specialization
*

Are you part of the National PhD Program in the Health and Life Sciences area?
*

Yes

PhD Program Enrollment (Check if part of the National PhD Program in the Health and Life Sciences area)
*

XXXIX cycle

Other cycle

None Above (if you are not part of the National PhD Program in the Health and Life Sciences area)

Swedish Affiliation: If you are a PhD Student with Swedish Affiliation, will you apply for the Lerici Foundation Sponsorship? *

Yes

I don't have a Swedish Affiliation

Heal Italia Affiliation: If you are a PhD Student affiliated with the Institutions of the Heal Italia Foundation or you are part of the Italian National PhD Program in Precision Medicine, will you apply for the Heal Italia Foundation Sponsorship? *

Yes

I don't have a Heal Italia Affiliation

Dietary Restrictions
*

Photo and Video Consent
*

If sessions will be recorded or photographed.

I consent

I do not consent

Data Privacy Consent
*

Compliance with data protection laws (GDPR)

I agree to the data privacy policy

I do not agree

Marketing *

I consent to the processing of personal data for marketing purposes

Yes

Thank you for registering for the Summer School on Artificial Intelligence in Health and Life Sciences. Please review all the information entered before submitting. Once you submit this form, we will send you an email (within 2 working days) with instructions on how to proceed with the payment. Students who wish to apply for the Sponsorships must first fill out the corresponding form on the website.

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