Rencontres
de Moriond
2010

45th - RENCONTRES DE MORIOND

La Thuile, Italy, March 2010
APPLICATION FORM FOR A GRANT
Deadline: 30th of January 2010
Very limited possibilities are available to help a few participants (from any country) with a grant covering (partially!) living expenses. Candidates should fill in the form below.
Application form
     
Electroweak (March 6-13)       QCD (March 13-20)       Cosmology (March 13-20)
     
Ms* Mr*
 Name* :
First name* :
Age* :
Nationality* :
Professional status* :
Institution* :
Zip* :
City* :
 Country* :
tel* :
Fax :
E-mail*:
Brief curriculum vitae :

Current or projected research activities and motives for wishing to attend the conference:
Scientific publications of applicant (no more than 5, your best or most recent)
Give : title of paper, journal, volume and page numbers, authors.
If the applicant is a doctorant then this form should be commented by the doctorant supervisor
Comments on benefit of participation from senior scientist (Supervisor, Department Head, etc.)
Name :
Institution :
Position :
Relation with the applicant :
Comments :