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Application
First name *
Surname *
Date of Birth
Gender
Nationality
NB: Age, Gender and Nationality are fields you can fill in voluntarily. However, to support our aim in ensuring a diverse and perspective-rich cohort, it is beneficial for us to know this data
Mother tongue
Please describe your English language skills (for example: are you a native speaker or student in an English-speaking country? Have you studied English to a certain level?)*
E-Mail *
Telephone
Address*
ZIP Code and City*
Country*
Are you a member of any IPPNW affiliate or have you participated in IPPNW activities?
Education / Degree*
University
Relevant courses
Status Student/Professional (with regular income)/Other
If "other" please specify
Please list any previous and ongoing experience in the field of global health, campaigning, or experience relevant to the Summer School 2021. Please list previous work experience and indicate your present employment, if any.
What would you like to discuss or learn more about during the Summer School? What are your expectations regarding the programme and our speakers? Please be specific, as we will forward your suggestions to our speakers. (500 words max.)
If you could plan a 15-20 min session on a topic related to Climate Crisis & Health, what would you talk about? This could be anything from your thesis topic, best-practice examples in your community or country to your engagement within a political or student group. (300 words max.)
Would you like to prepare this session for a small group during the Summer School?
Please describe why you want to participate in the Summer School and what you think your personal contribution to the programme might be. (500 words max.)
All fields marked with * must be filled in.
The protection of your personal data is an important concern for us. It will be handeled in accordance with the provisions of the General Data Protection Regulation (GDPR), the German Federal Data Protection Act (Bundesdatenschutzgesetz), as well as other applicable data protection regulations.