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Application form for the Fourth International Summer School in Social Sciences in Ukraine

“Violence and its Aftermath in the Soviet and Post-Soviet Context”

Zhytomyr (Ukraine), 4-10 July 2012

Please fill in the blank and send it, as well as a CV and (if relevant) a copy of one of your publications, by e-mail to: [email protected].

Name, Surname:

Country:

Academic position: PhD Student / Aspirant – PhD/Kandidat Nauk – Researcher - Other University affiliation:

E-mail: Date of Birth:

Postal address:

Mobile phone:

Another phone number (home, office…):

What are your expectations from the Summer School?

Please indicate the title of your (past or forthcoming) doctoral (kandidat) dissertation, and, if applicable, information about publications:

Describe your current research project (500 words) :

Any practical information you want us to know (accommodation or meal preferences…):

How did you hear about this summer school? (If it is on the web, on which website or mailing list?)

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