EFA 2017 Application Form FIRST NAME (required) SURNAME (required) EMAIL ADDRESS (required) GENDER (required) FEMALEMALEOTHERUNIVERSITY OR COMPANY (required) FIELD OF STUDY (required) CURRENT STUDY CYCLE ---BACHELORMASTERPH.D.OTHER (please specify in the field below)IF OTHER: FINISHED STUDY CYCLE ---BACHELORMASTERPH.D.OTHER (please specify in the field below)IF OTHER: DATE OF BIRTH (required) PLACE OF BIRTH (required) MAIN PLACE OF RESIDENCEADDRESS (required) POST CODE (required) CITY (required) COUNTRY (required) PHONE NUMBER (required) ADDRESS DURING THE ACADEMIC YEARADDRESS POST CODE CITY COUNTRY CATEGORY OF SCHOLARSHIP (required)STUDENTYOUNG PROFESSIONALRETURNERDECLARATION: I will stay in Alpbach for at least 14 days between 16th of August and 1st of September 2017 (application condition for students) ---YESNOIF NOT: please specify your arrival and departure day in these two fields Arrival Date: Departure Date: MULTIPLE APPLICATIONS FOR AN ALPBACH SCHOLARSHIP I applied for an Alpbach scholarship offered by other organizations (European Forum Alpbach Foundation, European Forum Alpbach Network, ...). ---YesNoIF YES: please add the names of the other organisation(s). Text box: FILE UPLOAD: please send only .pdf (preferred) or .jpeg or .jpg files, thank you!For STUDENTS and YOUNG PROFESSIONALS MOTIVATION LETTER (anonymous) For RETURNERS PROJECT DESCRIPTION For STUDENTS and RETURNERS CONFIRMATION OF UNIVERSITY REGISTRATION PRIVACY STATEMENT CURRICULUM VITAE (anonymous) How did you find out about our Scholarship Programme? (required, multiple selections possible) email Uni Innsbruckemail sh.asusemail Uni Bozenfacebook Uni Bozenfacebook sh.asusour newsletterour webpageour facebookSüdsternfrom friends or familyradioprint mediaother