Masterclass scientific writing application form

Scientific Writing Masterclass application Form

Fill out the form carefully for registration
Student Name *

Prefix First Name Last Name
Birth Date

Day Month Year
Gender *
E-mail *
Mobile Phone Number *

Area Code Phone Number
Institution *
Department *
Address of institution

Street Address

Street Address Line 2

City

Postal / Zip Code Country
Country of citizenship *
ESA membership number *
Membership type *
Be aware that only full membership is accepted. Associate membership is no full membership
Specific diet requirement: *

Vegetarian Gluten free None
Experiences in scientific writing *
Motivation to participate to the masterclass in scientific writing: *
Proficiency in English *

Beginner: Have little ability to understand spoken English used in academic orsocial settings. Very limited vocabulary. Intermediate: Have the ability to understand simple, high frequency spoken English used in routine academic andsocial settings. Have the ability to seek clarification in English. Advanced: Have the ability to understand, grade-appropriate spoken English insocial and academic settings. Understand main points, most important details, andsome implicit information during social and basic instructional interactions. Advanced-high: Have the ability to understand, grade-appropriate spoken English used inacademic and social settings. Readand understand vocabulary at a level nearly comparable at native Englishspeakers.
Previous ESA masterclass application/ attendance *

I have never applied to an ESA Masterclass I have already applied to an ESA Masterclass, but application was not successful/Idid not attend I already attended an ESA Masterclass:
If yes, which masterclass did you attend?
*Note that you cannot apply if you have attended a previous Masterclass in Scientific Writing
Please upload your most recent CV *

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Payment

Payment needs to be done by credit card. The Link for Payment will be sent to you upon registration confirmation The official invoice will be sent upon receipt of payment from the Credit Card operator.
*

If you want to be contacted for future research activities (CTN, Masterclass, Mentorship,…), please tick this box I confirm that I will participate to the Masterclass in Scientific Writing on 15 to 17 October 2019 in Belgrade, Serbia and that accommodation, travel and dinner will be covered by myself or by a sponsoring party excluding ESA I understand that my registration will be confirmed by payment of the Masterclass (300 or 180€ including VAT 21%) non refundable administrative fee to ESA
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Scientific Writing Masterclass application Form

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