European Ph.D on Social Representations and Communication
8th International Summer School
Application form

This application form should be returned by fax in one signed copy by 15 April 2002 to:

Prof. Annamaria Silvana de Rosa
Università degli Studi "La Sapienza"
Facoltà di Psicologia
Via dei Marsi 78 - 00185
Rome -Italy
fax n. 0039-06-4991 7652.
email: annamaria.derosa@uniroma1.it

(later applications will be considered if places are still available)

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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
PLACE OF WORK (city and country)

Typology of candidates (please, click only one of the following options):

I am applying for the 8th Summer School:

as participant to the European PhD on S.R. & C.
as new candidate of the European PhD on S.R. & C. for 2002/2003
as Marie Curie Fellow
as a self paying participant

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 EURO PhD NATIONAL TUTOR or SOCRATES PARTNER (IC Nº 29415-IC-1-99-1-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


My current research activity is focused on the following topic:


I wish to present my research project during the Small Group Seminars (upon acceptance) with the following title:


METHOD OF PAYMENT:

The deadline and method of payment will be communicated with the letter of acceptance.

Amount of payment:
1000 Euro (400 Euro scientific participation fee + 600 Euro accomodation fee) for the participation in the 8th International Summer School
1000 Euro for the enrollement in the European PhD on S.R. & C. for academic year 2002/2003


APPLICATION FOR HLSC FUNDING

Since I meet with the eligibility criteria, I would like to apply for HLSC funding*

* Approval of funding requests will be done simultaneously with the selection of the participants of the 8th International Summer School, by the Executive Comittee of the Euro PhD on SR & C