Online registration
Baltic Summer School 2008
Application for participation in
theoretical course only
theoretical
and
lab course
Prioritised/preferred lab projects in lab course
1. Project no.:
2. Project no.:
3. Project no.:
The distributed stipends will be selected on the basis of the submitted abstract and in addition we also need in accordance with EU rules to fill the different defined groups of participants (based on time in research, experience, etc.).
* required for all applicants
** Note: To be considered for a stipend you need to fill in all the fields in this application form. When you submit a complete application form you will not only register and apply to the course(s) but you will also automatically apply for a stipend.
First Name*:
Last Name*:
Degree and Position:
Institution*:
City*:
Postal address*:
Country*:
Zip Code:
Phone*:
Fax:
E-mail address*:
Date of Birth**:
Gender:
female
male
Place of Birth**:
Country of Birth**
Year of diploma/exam**:
Ph D:
year
period of research**:
no research
0-4 years
4-10 years
more than 10 years
How do you plan to use your acquired knowledge in the school for your personal future scientific career?**
CV and Publication List**:
Poster Title**:
Abstract (summary of poster)**:
The Baltic Summer School Secretariat, Gabriele Ach, Department of Physiology, University of Kiel, Olshausenstr. 40, D-24098 Kiel, Germany, Fax: +49 (0)431 880-4580; e-mail:
bss@balticsummerschool.net