APPLICATION FORM

TEM summer school (26-30 June 2017)*

Direzione Generale

Ufficio Protocollo e gestione documentale

Strada Cappuccini n. 2A – 11100 Aosta (Italy)

For the attention of the Rector of University of Aosta Valley

Personal details

First name:………………………………..

Surname:………………………………….

Date of birth:……………………………..

Place of birth:……………………………

Country of birth:……………………..

Nationality: …………………………….

Contact

Street:…………………………………………………….

Postcode, City:………………………………………..

Telephone:……………………………………………..

Mobile:…………………………………......

Fax:…………………………………………………………

Email:……………………………………………………..

I apply to attend the TEM summer school in marketing and economics of tourism, which will be held from the 26th June to the 30th June, 2017, in Courmayeur and Aosta. In this respect, according to the Italian law (Art. 46 D.P.R. 28 December 2000, n. 445, and artt. 75 e 76 D.P.R. 28 Dicembre 2000),

I declare that:

  1. I am a PhD student or I am a young researcher (less than 36 year-old)
  2. I havea Master degree in ……………………………………………………………………………………..
  3. I apply for  the Summer School without grant,  the Summer School with grant, as auditor
  4. I have attached my CV and the paper that I am going to present at the conference;
  5. I authorize the university to use my personal data according to the Italian law (D. Lgs. 196 30 June 2003), with the aim to manage and publicize the steps of the procedure;
  6. I have read the Summer School announcement

I undertake to inform the University about any change of the information provided above. I also recognize that the University is not responsible in case the candidate is unreachable, and in case that communications get lost because of either incorrect contact information provided by the candidate (including the missing communication of changes), or problems in the postal system, or problems due to third parties, fortuitous event, force majeure.

List of attached documents

a) ID card copy (signed);

b) Curriculum vitae (with signature and date);

c) Paper that will be presented at the conference;

d) Other (please, specify)……………………………………

Place and date …………….……..……………………….

Signature………………………………………………………

* Interreg V-A Italia-Francia Alcotra 2014-2020 – project name: FEAST (Formation, Education et Aménagement des Synergies Territoriales). CUP: B66D17000020005.