Going on Assignment in Prague
- application for January 7-16, 2018
First name:
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Surname (family name):
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Gender:
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Nationality:
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Email:
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Phone:
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Date of birth:
MM
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DD
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YYYY
Academic affiliation (if applicable):
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Field of study:
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Degree (if applicable):
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Occupation:
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What is your primary region of interest?:
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Date of (expected) graduation:
MM
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DD
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YYYY
Mailing address:
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Brief CV (resume):
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Why are you applying for this course (300 words max)?
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Are you registering as an organization or group?
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How did you find out about this course?:
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Please add any relevant notes or questions:
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