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Application

Delegate Application Form : AIMS - Scottish support for AIMS: James Clerk Maxwell AIMS Fund

The closing date for applications is Aug 1, 2014.

Special Instructions

Please describe the course you would like to teach at AIMS or any other support that you would like to offer. If you are proposing a course, please outline both the contents and the teaching method. There is no automatic acknowledgement of your application. You will be contacted by Bernd Schroers within 10 working days.

Personal Details

Last Name:*
First Name:*
Title:*
Status:*
Email:*
Tel No:
Fax No:
Institution:*
Institution and Departmental Address:*
City:*
Country:*
Postcode/Zipcode/Cedex/etc:
Nationality:
Gender:*
Date of Birth:*
Special Requirements:	Please specify any dietary or other requirements.

Additional Information

Period of availability for AIMS support

My head of department is aware of and supports this application

Title and outline of proposed course or support

Have you submitted your proposal to one of the AIMS Centres? If so, please give details

Please indicate which AIMS centre you would like to offer your support (you may choose more than one)
Senegal
Ghana
South Africa

Additional Information

If you have any other questions please let us know in the box below. A member of ICMS staff will answer you.

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