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Application Form

This document contains an application form for the European Forum Alpbach event taking place from August 19th to September 4th, 2015 in Alpbach, Austria. The form requests contact information, address details, emergency contact information, and allows the applicant to select which seminars and sessions they plan to attend. The deadline to apply for scholarships is June 1st, 2015. Applicants are asked to complete the form electronically and submit it via email.

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Draganliscious
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
37 views

Application Form

This document contains an application form for the European Forum Alpbach event taking place from August 19th to September 4th, 2015 in Alpbach, Austria. The form requests contact information, address details, emergency contact information, and allows the applicant to select which seminars and sessions they plan to attend. The deadline to apply for scholarships is June 1st, 2015. Applicants are asked to complete the form electronically and submit it via email.

Uploaded by

Draganliscious
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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EUROPEAN FORUM ALPBACH

INEQUALITY
19.08 4.09.2015

APPLICATION FORM

We kindly ask you to fill in this form electronically and


send it to the e-mail address:
[email protected].
Deadline for scholarship application: 1 June 2015.

CONTACT INFORMATION

Surname

First name

Title

Nationality (passport)

___________________ _________________________

______

__________________

University or Company

Date of birth

______________________________________________

________________________________

Field of study or Position

Place of birth

______________________________________________

________________________________

ADDRESS

CONTACT PERSON *

Address

Surname and first name

________________________________________

________________________________________

Postcode - City

Relation

________________________________________

________________________________________

Phone

Phone

________________________________________

________________________________________

E-mail

E-mail

________________________________________

________________________________________

The contacts of this person will be used in case of emergency.

REGISTRATION
Please choose only those events, seminars and working groups which you really intend to attend and that
will not take place at the same time.
Seminar Week (19 25.08.)
Seminar ___ and ___
Tyrol Day (22 23.08.)
Health Symposium (23 25.08.)
Partner Session ___
Higher Education Symposium (26 27.08.)
Legal Symposium (26 27.08.)

Technology Symposium (27 29.08.)


Breakout Session ___
Political Symposium (30.08 01.09.)
Breakout Session ___ and ___
Economic Symposium (01 03.09.)
Breakout Session ___ and ___
Financial Market Symposium (03 04.09.)
Breakfast Club ___ and ___
Built Environment Symposium (03 04.09.)

If you do not plan to stay for the entire European Forum Alpbach 2015, please inform us about the
duration of your participation.
Participation from

to

Remarks ____________________________________________________________________________
PLACE, DATE
____________________________________
SIGNATURE
____________________________________

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