Erice 2010

Application form

ALL fields in Part A below, except 'Fax', are mandatory. If this same form reloads after submission, one or more fields have not been correctly filled in; the fields that require attention will be highlighted in red. A successful submission will trigger an automatic confirmation message to your e-mail address. This confirmation message will include your application reference number—please use it in all future correspondence.

Pay particular attention to the e-mail address provided below, as it is the preferred way for the Organizers to contact you. Please forgive the repetition, but you would be surprised at the number of distracted people who type their e-mail address incorrectly and then complain about "lost" messages: please pay particular attention to the e-mail address that you provide below... smile!


Part A: Applicant's data
First name(s): 
(e.g., John) 
Surname: 
(e.g., Smith) 
Gender: 
Date of birth: 
(DD/MM/YYYY) 
Citizenship: 
 
 
 
Affiliation: 
 In the Affiliation field, include both Dept and Univ.
(e.g., Dept Chemical Sciences, Univ. of Padua)
Address: 
City: 
Postal Code: 
Country: 
 
Academic Position: 
Scientific Interests: 
(max 5 words!) 
 
Fax: 
Telephone: 
E-mail address: 

 

In the fields below, please do not paste text directly from Microsoft Word. You may, however, paste unformatted text. In simple terms, unformatted text is text with only the visible characters and without any hidden control characters that different word processors may use. If you wish to paste text from, for example, Microsoft Word, follow these rules: open a simple text editor (e.g., Notepad) and paste your text from Word into the text editor; select and copy the text from the simple text editor (thus ensuring that any hidden characters carried over from Word are eliminated); paste the text into any of the fields below and format it at will.

You may use standard word processor formatting such as italic, underlined, super- and subscript, as well as special characters (including Greek letters).


Part B: Additional data
Publications
List a maximum of five publications (in peer-reviewed journals) that are relevant to the meeting.

Abstract Title
Provide the title of a scientific presentation — if your application is successful, you will be asked at a later stage to provide a full abstract for a poster or a short talk.

Financial support
I will be under 35 years of age at the time of the course and I wish to apply for financial support

 

NB: If you are under 35 or a beginner in the field of crystallography, your application MUST be complemented by a letter of recommendation from an established senior scientist. This letter should be sent to Prof. Paola Spadon Contact Paola Spadon (at Erice.2010@azuleon.org) within 30 November 2009 and should also state whether financial support is required; if support is requested, it should be adequately justified and the exact amount specified.

 

Please check carefully ALL the data above, especially your e-mail address. When ready, press the SUBMIT button. (This form will reload if an error is detected.) The data will be entered into our database and a confirmation message will be sent to your e-mail address; if you do not receive a confirmation message within 24 hours, please contact Azuleon Meetings Contact Azuleon Meetings.