APPLICATION FORM

Photo (*)

Email (*)

First Name (*)

Surname (*)

Date of birth (*)

Phone (+ country code) (*)

Adress (*)

Nationality (*)

Academic Institution (*)

Academic status (*)

What degree are you studying for this year ? (*)

What will your academic situation be for 2024-2025 ? (*)

Explain the reasons and your expectations which motivate you to apply this 21st Summer University (*)

An up-to-date CV with full details of education and academic / other distinctions (format NAME_CV.pdf) (*)

A summary of any research into the history and culture of food/drink already completed, currently in progress or planned (format NAME_research.pdf) 2-3 pages max. In case of acceptance, a longer version can be requested (*)

One letter of recommendation by an academic referee. (format NAME_reference.pdf). Possibility to receive it separately at olivier.rollin@iehca.eu

I wish to be considered for a bursary (IEHCA offers 3 scholarships covering the registration fees) (*) Indéfini(e) yes no

Explain why you need a scholarship in few sentences (*)

If my application is successful, I undertake to pay immediately a deposit of 250€ (non-refundable) by bank transfer (including possible bank fees). I will pay the balance before 5/08/24 (*) Indéfini(e) yes

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