2014 IARC Summer School in Cancer Epidemiology - Application form

Introduction and About you...
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Please complete electronically in English. Answer each question. All relevant information should be included on this form.

Please make sure that the support letter is completed and signed by your supervisor prior to completing the form (see template here).

Once your application submitted, you should receive an acknowledgement email. Should you encounter any problem to fill and/or submit the form, please contact the IARC Courses Programme, at cor@iarc.fr.

Deadline for receipt of applications: 14 January 2014.

Please enter your name as it appears on your passport
WORK ADDRESS (institution)
Please indicate if you would like communications to be sent to your work or private address. *This question is required.
Gender *This question is required.
Have you ever attended any previous courses organized by IARC? *This question is required.
How did you hear about the IARC Summer School? (Multiple answers possible) *This question is required.