Vespucci Initiative | 2010 Registration Form

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Application for the 2010 Vespucci Summer Institute (14 to 18 June 2010):

"Interfacing social and environmental modeling"

First name

Surnames

Affiliation (company / university / organization)

Position (R+D manager, PhD student, etc.)

Background (field of work / course / research background)

Postal address

City

Postal code

Country

E-mail

Skype name (optional)

Best telephone contact (optional)

Before submitting your registation you must upload a SINGLE compressed file (ZIP or RAR) including two docs: (Use your first and family name as file name)

Research interests related to the topic (max 250 words, Word or PDF format)
Curriculum vita (1-page, Word or PDF format) with photo

Comments (optional)