International Society of Political Psychology
ISPP- SUMMER ACADEMY 2015, San Diego, USA
June 30th – July 2nd 2015

Application Form

Please complete all parts of this application form.

______

PERSONAL DETAILS

Family/last name:______

First name(s):______

Title (Mr/Miss/Mrs/Ms/Dr)______Sex: Male ÿ Female ÿ

Contact address:______

______Country: ______

Telephone number: ______Email address: ______

Age: ______Date of birth (dd/mm/yy):______

Nationality: ______

______

ACADEMIC AND PROFESSIONAL DETAILS

Please give details of your educational background, including current study and degrees achieved:

Studying for BA ÿ BA ÿ Studying for MA ÿ MA ÿ (Year _____) Studying for PhD ÿ Topic: ______PhD ÿ (Year _____) No formal qualifications ÿ Other ÿ

Please give details of your status: Student ÿ Employed ÿ Retired ÿ Academic ÿ Other ÿ Profession: ______

If you are currently a student, please state institution, department, title of program, and year of study: ______

______

If your application is financially supported from a college, university or other institution, please state the name of the institution, and the amount of support you are eligible to receive: ______

______

______

ENGLISH LANGUAGE QUALIFICATIONS

If your first language is not English, please indicate your level of English language proficiency

Excellent/Professional ÿ Good/Working ÿ Elementary ÿ Limited ÿ

IELTS/TOEFL/Cambridge CAE scores are not a requirement for this application. If you have taken one of these tests in the last 3 years please indicate the score you received:

IELTS ÿ (score) ______TOEFL ÿ (score) ______Cambridge CAE ÿ (score) ______

______

RELEVANT COURSEWORK EXPERIENCE

Please indicate if you have relevant coursework experience, giving the academic year you attended the course(s), the Institution, the instructor’s name and the course(s) title:

Year______Institution ______Instructor ______Course title ______

Year______Institution ______Instructor ______Course title ______

______

Year______Institution ______Instructor ______Course title ______

______

ACADEMIC REFERENCE

Please give the name and email address of a referee who can provide you with a supporting recommendation letter:

Name: ______Title ______

Institution: ______Email ______

PERSONAL STATEMENT

In the space provided below, please explain why you wish to attend the ISPP Summer Academy. In particular tell us what you hope to achieve, including what skills you hope to acquire. If you are currently conducting or plan to conduct research on a political psychology topic, please provide a summary of your research. Use this page for any additional information you would like to give us about yourself.

AREAS OF RESEARCH AND INTEREST

Please check up to five that best describe your research interests:

ÿ Biopolitics

ÿ Conflict Analysis

ÿ Elite Decision-making

ÿ Ethnic/Racial/Cross-cultural Issues

ÿ Gender Politics

ÿ Generational Politics

ÿ Leadership and Followership

ÿ Life Course/Aging

ÿ Mass Media and Communications

ÿ Mass Movements/Collective Behavior

ÿ Organization and Group Dynamics

ÿ Political Affect

ÿ Political Cognition

ÿ Political Personality Types

ÿ Political Socialization

ÿ Political Violence/Terrorism

ÿ Psychobiography/Psychohistory

ÿ Voting Behavior/Public Opinion

______

SPECIAL REQUIREMENTS

We do not discriminate against people with disabilities or medical needs and make all reasonable efforts to accommodate their needs. Do you have any special physical or medical needs? No ÿ Yes ÿ If yes, we will contact you for further details.

______

PUBLICITY

How did you find out about the ISPP Summer Academy? Recommendation ÿ My institution (please specify) ______Internet (site?) ______Publication (title?) ______

Other (please specify) ______

ISPP 2015 ANNUAL MEETING

Have you applied /planning to apply to attend the 2015 ISPP Annual Meeting? No ÿ Yes ÿ

Are you planning to present: A paper ÿ A poster ÿ Just attend ÿ

SIGNATURE

Applications cannot be accepted without a signature.

Signed: ______Date: ______

______

APPLICATION SUBMISSION DETAILS

Along with your application, please attach a short copy of your CV.

Please email your application supporting documents by April 15th 2015 to Stavroula Chrona:

______