Cargèse 2010

International School on
Topographic Internal Waves
Cargèse (Corsica), France, November 2-11, 2010

Application Form

Please fill out this application form and submit it by e-mail or fax to the secretary of the school, Mrs Champavier (see address below).
You may also edit this page, fill it out and send it by e-mail to cargese-2010@legi.grenoble-inp.fr.
Deadline for application is 30 June 2010.

Recommendation letters are not required if you only apply for admission to the school, but they are necessary if you also apply for financial support.

General information

Title (Dr., Mr., Ms., etc.): __________________

First Name: ____________________________________________________________________

Family Name: __________________________________________________________________

Nationality: ___________________________________________________

Age: _____________

Gender (M/F): _____________

Institution Name and Address: ___________________________________________________

________________________________________________________________________________

Address for reply: ______________________________________________________________

________________________________________________________________________________

Reply phone number: ____________________________

Reply FAX number: ____________________________

Reply Email address: __________________________________________________

Your research activity

Present position and field of research: ______________________________________________

_________________________________________________________________________________

Short Curriculum Vitae (including graduate and undergraduate education)________________

_________________________________________________________________________________

References of published or accepted works _________________________________________

_________________________________________________________________________________

Names and institutions of two referees _______________________

_________________________________________________________________________________

What benefits do you expect from attending the school?

_________________________________________________________________________________

Accomodation

I agree to share my appartment : YES NO

If you agree, you may indicate the name of a room-mate : __________________________________

Do you have special needs (food, etc.) ? __________________________________

Financial support (i.e. registration fees waiving)

Do you need a financial support from the school? _________________

If yes, please provide motivations for your financial support request

_________________________________________________________________________________

If you apply for financial support, two recommendation letters should be sent by referees. These lettters
should be sent directly to the secretary by the deadline.

If you need more information, please contact the secretary of the school:

Mrs Sylvie Champavier
Cargèse Scientific School
LEGI, BP 53
38041 Grenoble cédex 9
France

Fax : +33-4-76825271
E-mail: cargese-2010@legi.grenoble-inp.fr