Application Form

Application deadline: 15 April 2020

First Name

Family Name

Gender

Date of birth

Affiliation/Institution

Address at work/ study

Citizenship

Telephone #

Email

Educational level achieved (B.Sc, M.Sc, Ph.D, Post-Doc)

Thesis title/ year of defense/ latest degree earned

Please assess your personal skills and capabilities using the scale (levels) below:
Skills & Capabilities

English proficiency
 Excellent Good Moderate Poor

Programming skills
 Excellent Good Moderate Poor

Research
 Excellent Good Moderate Poor

Presentations
 Excellent Good Moderate Poor

Please, provide contact information for one reference person who can agree to
judge your skills and capabilities

Reference Person:
Title

First Name, Family Name

E-mail

Please note that the school organizers might contact the reference person above

Do you need official invitation / visa to travel to Italy?
 Yes No

Please, return this: application form together with the motivation letter (max 1 page), CV/resume (max 1 page), and list of recent presentations/ publications (max 1 page)

The motivation letter (max 1 page)

CV/resume (max 1 page)

List of recent presentations/ publications (max 1 page)

By submitting this registration form you authorise Fondazione Alessandro Volta to include your personal data on its mailing list for the distribution of information material. We will never share your personal data with any third party.
According to the General Data Protection Regulation 2016/679, you may have access to these details at any time and request their modification and cancellation sending an email to: info@lakecomoschool.org