APPLICATION FORM



Please tick the subgroup name and the title of the school/workshop you would like to attend : *

Personel Information
Name : * Date of Birth :  *
Surname :  * Gender :  *
E-mail :  *
Tel : *
Zip Code :
City :  *
Country :  *

Education (BS)
University : * Year Started :  *
Department : * Year Finished :

Education (MSc)
University : Year Started :
Department : Year Finished :
Academic Supervisor (if applicable) :
Thesis Title (if applicable) :

Education (PhD)
University : Year Started :
Department : Year Finished :
Academic Supervisor (if applicable) :
Thesis Title (if applicable) :

Postdoctoral Research Positions
1 )
University : Dates :
Department : Subject :
2 )
University : Dates :
Department : Subject :

Selected Publications    Please give at most 3 recent published or accepted papers. (do not attach copies!) (This is not a condition for acceptance. It is requested for statistical purposes only.)
1 )  
2 )  
3 )  

Proficiency in numerial computation (please tick one box for each row)
SoftwareNever usedI can do simple
calculations		I can do simple
programming		I can use/am using for
scientific calculations
Fortran
C/C++
Matlab
Mathematica
Maple
Other (please specify):

 

Proficiency in English. IARSS workshops are in English.
Speaking :   *        Listening :   *        Writing :   *        Reading :   *

                        Should you be accepted, do you comply with the full attendance condition in the IARS activity you apply? 

                       * = required fields