(for participants coming from the Baltic countries and north-west areas of Russia)
Surname:.............................................
First Name:...................................................
Date of birth:...............................Nationality:.................................................................
Highest university degree obtained, year, name of institution:
.......................................................................................................................................
Institution presently associated with:................................................................................
........................................................................................................................................
Present professional position and duties:..........................................................................
.........................................................................................................................................
Current fields of interest:...................................................................................................
........................................................................................................................................
Mailing adress:.................................................................................................................
.........................................................................................................................................
Postcode:.....................................Place:.............................................................................
Country:............................................................................................................................
Phone:.......................................................Fax:.................................................................
E-mail:....................................................
TRAVEL EXPENSES:
Estimated travelling expenses using most economical airline or second class train.
From:............................................To:............................................FIM:.....................
Expenses of the use of private car or taxi are not reimbursable.
LIVING EXPENSES:
The support for living expenses is considered only
for at most 1780 FIM,
which includes lunches and refreshments during the
weekdays and accomodation in a shared double room (university guesthouse)
for the period of August 9-22.
The grant, when allowed, will cover at most 100 % of the requested support.
I hereby request support for my living expenses to
the amount of FIM:........................ REGISTRATION FEE: The support for registration fee is considered only
for at most 2000 FIM.
The grant, when allowed, will cover at most 100 % of the requested
support. I hereby request support for my registration fee to
the amount of FIM:......................................... STATEMENT BY THE APPLICANT Other sources in my country will contribute to my expenses: travel expenses FIM .................., living expenses FIM ........................., participation fee FIM .......................... I do not receive any further support and I hereby declare
that the above information is correct and to the best of my knowledge. .............................................................................. date and signature STATEMENT BY THE INSTITUTION The applicant is associated with our institution. His/Her
postition is: ...................................................................................... Our institution will contribute to the costs arising from
the applicant`s attendance at the Summer School to the total amount of
FIM .............................
......................................................................................
date and signature/stamp
Very important: Your application for a GRANT will be considered only if this form is filled in completely and signed by you and your institution. Please print and fill in the form. If more space is needed attach an additional page.
You may fax or mail your application to us:
FAX: +358-2-241 0154
Mailing adress: TUCS, Lemminkaisenkatu 14 A, DataCity, FIN 20520 Turku, Finland
Note that each grant covers at most 100 % of the costs of travel, registration and accommodation. For more questions Email:synergos@abo.fi
Please note: DEADLINE FOR APPLICATION IS MAY 15, 1998