How did you heard about IPD International Winter Programs?

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How you will cover your participation fee amount?

Myself Yes No

My work or study place Yes No

Family member Yes No

Friend or Colleagues Yes No

Scholarship or Sponsorship (Please specify the financial aid source) Yes No

Education

Name & Email of University	Length of Studies mm/yyyy - mm/yyyy	Degree Obtained (For example: MA in Political Science)

Participation at the relevant training, seminars and etc.

Year	Country	Organizer’ name & email	Topic

Work Experience

Date: mm/yyyy - mm/yyyy	Country	Name & Email of Company/Organization	Title of Position

Language skills

Language	Speaking	Writing	Reading
Mother Language (Please specify)
English Language
Other language?

Please outline your motivation, intention and interest for attending in the International Winter Academy. (Not more than 500 words)

Special needs

Do you have any special needs or requirements that the organizers should take into account during the Winter Academy (e.g. dietary, vegetarian, disability, etc.)? Yes No If Yes Please specify

Fee & Accommodation Request: Please choose your accommodation and fee type:

Winter Academy Fee:

- Double Room (Room for 2 participants) for 10 Days Winter Academy: 1850EUR Yes No

- Single Room (Room for 1 participant) for 10 Days Winter Academy: 2100EUR Yes No

- Participation fee without accommodation and dinner: 1000EUR Yes No

3 Month CAS-Research Program Fee:

- Double Room (Room for 2 participants) for 90 Days Program: 6800EUR Yes No

- Single Room (Room for 1 participant) for 90 Days Program: 7100EUR Yes No

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