EHPS 2016: Synergy Expert Meeting application form
Please provide all the required information. Note that if your application is successful, this information will be included in the Participant Information Pack exactly as you enter it here.
Name *
Your answer
Affiliation *
Your answer
Country *
Your answer
Email *
Your answer
Job title *
How would you describe your job title (e.g. PhD Student, Postdoc, Lecturer, Reader, Professor)?
Your answer
Past experience *
Please choose which of these applies:
Past experience (cont) *
Please briefly describe your experience regarding 'Social relationships and health: Collaborative and dyadic approaches' (word limit: 250)
Your answer
Expectations *
How do you expect the Expert Meeting to benefit you? (word limit: 250)
Your answer
Contribution *
How do you expect to contribute to the Expert Meeting? (word limit: 250)
Your answer
Publications/presentations *
If you have any publications/presentations that you think are relevant for this Expert Meeting, then please list the three most applicable here. The Expert Meeting facilitators will consider these as input for structuring the meeting, maybe sharing them with all delegates. Feel free to include your own (recent/submitted) publications or other documents that you think can be useful.
Your answer
Picture
Lastly, as part of the Participant Information Pack we want to provide individual pictures of all accepted delegates. Please send a recent picture of yourself to ehps.synergy@gmail.com. Please include your name and affiliation in the email.
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