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Orpheus Academy 2010
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APPLICATION FORM INTERNATIONAL ORPHEUS ACADEMY
Please fill out our application form below.
Name
*
Surname
*
Address
*
Zip code
*
City
*
Country
*
Telephone
*
Fax
E-mail
*
Website
Education and degrees:
*
Dissertation title and date:
Current academic affiliation and position:
*
Societal memberships:
Area(s) of expertise and interest:
Recent publications and presentations:
Affinity to the Orpheus Academy’s theme:
*
Will you be needing accommodation during the Academy? If so, what is your preference?
*
I would like a single hotel room at 100 euros per night
I would like a single B&B room at 60 euros per night
I would like a shared room (hotel, B&B) at 35 euros per night
Orpheus Institute doesn’t have to provide any accommodation