European Ph.D on Social Representations and Communication
4th International Summer School

Application form

Note: submission is no more possible as the deadline has expired.

When completed this application form should be transmitted by Internet and by mail in one signed copy by 15 March 1998 to:

Prof. Annamaria Silvana de Rosa
Università degli Studi "La Sapienza"
Facoltà di Psicologia
Via dei Marsi 78 - 00185
Rome -Italy
fax n. 0039-6-4991 7652.
email: derosa@axrma.uniroma1.it

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APPLICANT

Last name
First name
Sex (M/F)
Birth date (dd-mm-yy)
Nationality
HOME ADDRESS
Tel. no.
Fax No.
E-mail
ADDRESS FOR CORRESPONDENCE
(if different from above)
Tel. no.
Fax No.
E-mail

Typology of candidates:

I am applying for the Summer School:

as participant to the European PhD on S.R. & C. enrolled since 1996/'97 and '97/'98*
as new candidate of the European PHD on S.R. & C*.
as a self paying participant**
* as already enrolled into the European PhD on S.R. & C. or in case my application as new candidate of the European PhD on S.R. & C. will be accepted, my partecipation into the Summer School will be supported on EU PhD or TMR budget on the condition I will regularly register respectively for the third, second and or first year of the EU PhD by 15 April 1998.

**as a self paying participant, in case my application will be accepted, I will regularly register for the Summer School by 15 April 1998, by paying the scientific fee, whilst I will be funded by the organizers for the accommodation.


QUALIFICATION First university or equivalent graduation

University Graduation date Discipline Qualification Grades

Brief curriculum vitae since graduation (relevant qualification):

Scientific publications (give the references of no more than 5, your best or most recent):

Knowledge of European Languages

spoken level written level


REFERENCES (please include a brief comment signed by the person below indicated):

Name and Institution of a person to whom reference may be made about your suitability to pursue the Summer School. The person should be a EU PhD NATIONAL TUTOR or SOCRATES PARTNER (IC n° 29415-IC-1-96-1-IT-ERASMUS-EPS-1) or, in any case, a senior member of the staff of the respective University, Polytechnic or College which you attended (e.g. Tutor of Doctoral Programme, Head of Department, Professor).

Name
University
Relation with applicant
Brief comments on benefit of participation from the Supervisor

Would you like to present your current research activity during the afternoon session even if you aren't EU PhD student (Y/N) ?

If yes, please indicate the topic of your presentation:

I intend to present my current research activity on the following topic:

I need for my presentation:
slide projector
overhead projector
video-tape projector

METHOD OF PAYMENT:

Accepted Credit Cards: Visa, American Express, Eurocard-Mastercard.

In case I will be selected, I authorize to charge the scientific fee for the participation into the fourth Summer School (or for the enrollment in the 1998/99 a. y. EU PhD programme) on the Credit Card as below described.

No application will be considered without the following information:

Kind of Credit Card: Visa American Express Eurocard-Mastercard.

Name of the holder of the Credit Card:
Number of the Credit Card:
Expire data:
Amount of payment: the equivalent in Italian Lire of 700 ECU for the participation in the 4th Summer School
the equivalent in Italian Lire of 1000 Ecu for the enrolment in the 1988/99 a.y. EU Ph.D
Declaration:

I declare the above truthful and sincere. I also declare that if awarded a grant by the organisers of the event, I will not cover any expenses from more than one funding source, in agreement with the T.M.R. rules which state:

"The selected researchers may not benefit, for any given expense in connection with participation, from TMR funding at the same time as from any other source. It is however allowable for different expenses to be funded from different sources (e.g. registration fees from one source and travel from T.M.R.)".


LIST of the five WORKSHOPS

PLEASE RANK ORDER THE WORKSHOP YOU WOULD LIKE TO ATTEND:
(1=highest preference; 2=next highest; 3=third preference; 4=fourth preference; 5=last preference)

1. S.R. "in" and "about" organization:
S.R. organisations and institutional contextes J. Jesuino (Portugal)
S. Ayestaran (Spain)
S. Lahlou (France)
S.R. and globalisation in mass-communication: the commercial and no-profit advertising M.L. Rouquette (France)
R. Farr (U.K.)
A.S. de Rosa (Italy)


2. Culture, education and S.R. :
S.R., education and culture K. Helkama (Finland)
W. Wagner (Austria)
S.R. and professional socialization in educational and juridical contextes A. Palmonari (Italy)
E. Lage (France)
A. Pirttila Backman (Finland)


3. S.R., health and institutional contextes:
S.R. and professional socialisation in the field of health A. Palmonari (Italy)
D. Paez (Spain)
S.R. and health: the cases of AIDS and handicap R. Farr (U.K.)
D. Paez (Spain)
E. Lage (France)


4. Intergroup relations, ideology and politics:
S.R. ideology and politics S. Ayestaran (Spain)
J. Valencia (Spain)
S.R. and intergroup relations W. Doise (Switzerland)
A. Echebarria (Spain)
F. Elejabarrieta (Spain)


5. S.R. and the social world: environment and economy
S.R. , environment and tourism D. Jodelet (France)
A.S. de Rosa (Italy)
S.R. and economy J. Jesuino (Portugal)
E. Kirchler (Austria)
P. Vergès (France)