APPLICATION FORM | Intranet STREAM

STREAM SUMMER SCHOOL, Warsaw, 27-28 June 2016

Work Package No 2 "Expertise Sharing Through Workshops"

APPLICATION FORM

I will attend STREAM Summer School on *

June 27, 2016

June 28, 2016

You can select both dates

Attendee: *

Name and surname: *

From (institution): *

City, country: *

Title: *

PhD, MD, MSc etc.

Email adress *

Certificate of attendance *

Yes

Oral presentation: *

Yes

Title of oral presentation: *

Abstract of oral presentation: *

max. 200 words

Additional information:

CV pdf file attached: *

(CV including list of publications, poster and oral presentation at the conferences, participation in courses/trainings/workshops, awards/fellowships)
Files must be less than 5 MB.
Allowed file types: pdf.

* Required field

Costs of accommodation of candidates selected for 15-minute oral presentation will be reimbursed.

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