Application Form for Guarda Workshop in Evolutionary Biology

course dates: 16. - 23. June 2018 (Saturday to Saturday).

For more info see: http://evolution.unibas.ch/teaching/guarda

First name:
Last name:
Email address:
Email address a second time:
Age:
Gender:
University/Institution:
Address:
ZIP code, City:
Country:
Current stage of education:
Research group (Thesis supervisor):
Diet choice:

Motivation to take part in the course (not more than 100 words):

Short description of current research project (not more than 100 words):

Your field(s) of interest (not more than 100 words):

Please write a short sketch about yourself (not more than 100 words)
(this information will be circulated to course participants in case you are admitted to the course):

After having submitted this form you will receive automatically an email.
In case you don't receive the automatic confirmation, please contact Dieter Ebert.