European Ph.D on Social Representations and Communication
7th International Summer School

7th International Summer School on Social Representations and Communication

"Communication: Languages, Representations, Interactions"

Rome, Italy
3th-10th June 2001


This application form should be returned by fax in one signed copy by 15 April 2001 to:

Prof. Annamaria Silvana de Rosa
Università degli Studi "La Sapienza"
Facoltà di Psicologia
Via dei Marsi 78 - 00185
Rome -Italy
fax n. 0039-06-4991 7652.
email: annamaria.derosa@uniroma1.it

(later applications will be considered if places are still available)

After the application form has been filled in, you may confirm its electronic transmission by pressing the button "Send" at the end of this page. If the transmission is successful, an acknowledgement will be displayed. At this point, you can request to have your filled in application form on the screen, in order to print it, to sign it and to send it as above stated. If you forget to print the application form after the transmission, you can print an empty application form and fill in it by hand in order to send it by fax.


APPLICANT

Last name
First name
Sex (M/F)
Birth date (dd-mm-yy)
Nationality
HOME ADDRESS
Tel. No.
Fax No.
E-mail
ADDRESS FOR CORRESPONDENCE
(if different from above)
Tel. No.
Fax No.
E-mail

Typology of candidates (please, click only one of the following options):

I am applying for the 7th Summer School:

as participant to the European PhD on S.R. & C. enrolled since 1996/97, 1997/98 , 1998/99, 1999/2000, 2000/2001*
as new candidate of the European PhD on S.R. & C. for 2001/2002*
as Marie Curie Fellow
as a self paying participant**

*as already enrolled in the European PhD on S.R. & C. my participation in the Summer School will be supported by Euro PhD on the condition that I have paid for all the previous years and that I will pay for the forthcoming academic year by the deadline for registration.

**as a self paying participant, if my application is accepted, I will register formally for the Summer School by the deadline for registration.


QUALIFICATION First university or equivalent graduation

University Graduation date Discipline Qualification Grades

Brief curriculum vitae since graduation (relevant qualification):

Scientific publications (give the references of no more than 5, your best or most recent):

Knowledge of European Languages spoken level written level


REFERENCES (please include a brief comment signed by the person below indicated):

Name and Institution of a person to whom reference may be made about your suitability to pursue the Summer School. The person should be a EU PhD NATIONAL TUTOR or SOCRATES PARTNER (IC N¡ 29415-IC-1-99-1-IT ERASMUS-EPS-1), or, in any case, , a senior member of the staff of the respective University, Polytechnic or College which you attended (e.g. Tutor of Doctoral Programme, Head of Department, Professor).

Name
University
Relation with applicant
Brief comments on benefit of participation from the Supervisor

My current research activity is focused on the following topic:


I wish to present my research project during the Small Group Seminars (upon acceptance) with the following title:


 

METHOD OF PAYMENT:

The deadline for registration and method of payment will be communicated with the letter of acceptance.

Amount of payment:
the equivalent in Italian Lire of 700 EURO for the participation in the 7th Summer School, for applicants introduced by the partner Universities of the European PhD on S.R. & C. Socrates-Erasmus network, UNICA-network, EuroPACE 2000 network and for previous participants.
the equivalent in Italian Lire of 750 EURO for the participation in the 7th Summer School, for all the others.
the equivalent in Italian Lire of 1000 EURO for the enrollement in the 2001/2002 (academic year) Euro PhD