APPLICATION FORM

Email (*)

Surname (*)

First Name (*)

Date of birth (*)

Adress (*)

Phone (*)

Nationality (*)

Academic Institution (*)

Academic status (*)

I would like to apply for a place on the Summer University 2022 * Indéfini(e) yes

If my application is successful, I agree to pay the € 450 registration fee by bank transfer (including possible bank fees) * (*) Indéfini(e) yes

I wish to be considered for a bursary * (*) Indéfini(e) yes no

An up-to-date CV with full details of education and academic / other distinctions (PDF, the title of the document must be in the following format NAME_CV.pdf) (*)

A summary of any research into the history and culture of food/drink already completed, currently in progress or planned (2-3 pages max. for consideration by the selection committee- please note that, in case of acceptance, a longer version of 3-10 pages (*)

A personal statement of why you wish to attend the Summer University (PDF, the title of the document must be in the following format NAME_motivation.pdf) (*)

One letter of recommendation by an academic referee. (PDF, the title of the document must be in the following format NAME_reference.pdf). Possibility to receive it separately at olivier.rollin@iehca.eu

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