JCOM MASTERCLASSES 2016 - Application Form

Developing successful exhibitions

Venue: Trieste (Italy) Adriatico Guest House - ICTP

Personal data Please enter your personal data as shown on your passaport.

Please enter date of birth in the format DD/MM/YYYY

Please enter the country name where you were born

Please enter the city name where you were born

Specify your present nationality

What is your current position? Please select the appopriate definition from the pull-down menu.

Other (please specify)

Present institute/organization If freelancer please fill in with your personal data.

Including Faculty, Department, Lab etc. as appropriate (max 200 chars)

Enter your work phone number, together with any international prefixes and/or your mobile telephone number

Enter your work telefax number, together with any international prefixes in the following format: +country_code - city_code - fax_number. Example: +39-040-37876. Please verify the validity of the fax number essential for further communication and any visa

Please verify the validity of your email address essential for further communication

Professional interests and qualifications

Motivation statement
Describe how will you and/or your home institute benefit from the participation in this course. Please mention also concrete projects if it is the case: you/your institution are planning to offer outreach activities and/or to open a visitor/science centre and/or to design an exhibition and/or to produce media products etc. (max 1500 chars).

IMPORTANT: You can upload your CV in PDF file format. Please ensure the file name includes the relevant extension ".pdf". Do not simply rename your file to match this type, since it will be illegible. The file should be written in English. Maximum filesize is 2MB.

Financial assistance

The International Centre for Theoretical Physics (ICTP) offers a limited number of grants that cover the registration, travel and accommodation expenses for the participation to one (and only one) course. ICTP grants are applicable only to candidates who are nationals of a developing country and are working in one.
Click here below if you wish to apply for a ICTP grant.

In next months other grant opportunities might be offered – as registered candidate you will be notified about them.

Please tick a box to indicate the reduction you are entitled to ask. You can ask for only one reduction (all of them entitle you for a reduction of the 30% on the normal fee).
If you ask for this reduction, please select:

If you need to add important information regarding this application not covered by any other section of this form, you may add it here (max 500 chars).

Once you have successfully completed and submitted your application, you will see a confirmation message on this screen and you will receive confirmation by email. Should this message not be visible that means that you have not submitted your application and you should check the mandatory fields to ensure information has been correctly inserted. Thank you.