ESPE Science School 2015
European Society for Paediatric Endocrinology
Veyrier le Lac, France
3rd – 6th June 2015
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APPLICATION FORM (Please type or print in block letters only)
The ESPE Science School will accept applications who fulfil one of the following criteria:
1) MD with a training in Peadiatric endocrinology and in research (PhD)
2) PhD involved in experimental research on non-coding RNA in Endocrinology
3) ESPE members who are interested to develop a project on non-coding RNA.
4)
Please send a
good quality
photograph as a
separate * .jpg file
by email!
Knowledge of English language, capable of attending lectures.
Type of application: Young MD or PhD (fellows) 
Name of Applicant:
ESPE members

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Home Address: ____________________________________________________________________
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Date of Birth:
Day
Sex:
Female
Month

Year
Male
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Work Address: ____________________________________________________________________
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Telephone No: International code
National code
Number__
________
Fax No:
National code
Number
________
International code
E-mail (essential!):
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Indicate preferred corresponding address: Home

Institute
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Present Position:
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Degrees (e.g. MD/PhD): __________________________________________________________
Education (for Fellows only):
Institute
Degree
Year
Undergraduate training ___________________________________________________________
Paediatric training: ______________________________________________________________
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Paediatric endocrine training:
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Postgraduate training (PhD):_______________________________________________________
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PostDoctorant position:___________________________________________________________
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Command of English (some, good, very good):
Listening:__________________ Reading:__________________ Writing___________________
Signature of applicant: ___________________________
Date: _____________________
Assurance of the above and responsibility for attendance if accepted by Head of the Department:
Title and name:_______________________________ Signature:
___________________
Please forward your application exclusively by email! The application must contain:
1. Application form
2. CV (less than 3 pages). European format (one page) for ESPE members.
3. Letter of motivations
4. Good quality passport-style photograph as a separate *.jpg file
DEADLINE: DOCUMENTS TO ARRIVE BY TUESDAY 31st March 2015
Send to:
Professor Nicolas de Roux, Paris, FR
Email: nicolas.deroux@inserm.fr