AQUIFIER Application

Applicants are required to apply on line, by completing the form below. Due to the limited number of participants (up to 20) that can be accepted, the "Personal statement" (see below) is a very important component of the selection process. If you have no information for a given field, please enter "n/a" to indicate a null value. Please click the Submit key when done. The deadline to submit an application is April 10, 2010.


Attention students and postdocs: for your application to be complete, your supervisor must send a recommendation letter (TEXT or PDF file) to: ybarra@icmr.ucsb.edu The recommendation letter will be considered as relevant during the selection process.

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Fields marked with a * are required.









Given name *
Family name *
Citizenship *
Street Address *
City *
State *
Country *
Postal Zipcode *
E-mail *
Phone Number *
Gender Male
Female
Gender info. required only
to determine lodging assignments
Current    Position *
Institution*
Highest Degree *
Indicate 5 keywords for your research activity *
Universities Attended
University 1:  Dates Attended:  Degree Earned: 
University 2:  Dates Attended:  Degree Earned: 
University 3:  Dates Attended:  Degree Earned: 
University 4:  Dates Attended:  Degree Earned: 
University 5:  Dates Attended:  Degree Earned: 
Attention students and postdocs: for your application to be complete, your supervisor must send a recommendation letter (TEXT or PDF file) to: ybarra at icmr.ucsb.edu
Supervisor's First Name   *
Supervisor's Last Name   *
Supervisor's Email *

Personal Statement
(up to 2000 words) Please provide below a brief write-up on your research interests, current research activities, future goals, and what you expect to achieve during the program. Short proposals regarding your envisaged scientific activity in L'Aquila are welcome (but not required).


Publications: Up to five relevent publication/preprints (including titles, authors, journal or preprint reference)
Publications
Are you requesting travel support? Yes
No