2001 Latin American School of High-Energy Physics

 

Application Form

for Students wishing to attend

 

THE FIRST
CERN-CLAF SCHOOL OF HIGH-ENERGY PHYSICS
 

 Itacuruçá, Brazil
 6 - 19 May 2001

To apply:

Fill in and submit this form.

Please note that your application must be accompanied by a letter of reference from your Supervisor/Professor.

Deadline:
Both the completed form and the Letter of Reference should reach us by 7 March 2001. Applications received after this date will not be considered.

Personal Information: 

Family Name
First / Given Name
Name to be used for badge
Your e-mail address (one only)
Nationality

SexDate of birth (DD MM YY)

Institute or Department: 

Address of Institute or Department

Knowledge of English:

Reading:   Writing:   Speaking: 

University Education:

Institute
Locality (Town and Country)
From: To: Attended
Qualifications Obtained
Present Stage Of Studies

For what qualification are you working at present?

When do you expect to obtain it ? 
 

Letter of Reference

The submission of this application MUST be accompanied by a letter of reference from your Professor or Supervisor, sent to:

Claire Earnshaw
School of Physics
CERN
CH-1211 Geneva 23
Switzerland.
Please indicate:
Name of Supervisor/Professor:

Address of Supervisor/Professor:


 

Telephone Number of Supervisor/Professor : 
Email of Supervisor/Professor : 
 

Date of letter of reference (DD MM YY)
 

Both the completed form and the Letter of Reference should reach us by 7 March 2001. Applications received after this date will not be considered.

Have you ever worked at CERN?

No.
Yes. If so:
When? From: To: 
In which Division ? 

Have you applied to attend any of the previous schools organised by CERN or CLAF?

  No.
  Yes. If so:
Which?        Of which year? 
Was your application accepted    or rejected ?

How did you hear about the School?

  First Bulletin
  Poster
  CERN Courier
  E-mail
  World-Wide Web
  Via a colleague
  Via your supervisor
  Other

Please state whether mail dispatched in March-April 2001 should be addressed to:

Your home Institute as above? 
If not ,   specify alternative address:

Brief description of your current work:

Provide a 100-word description (in English) of your current work. This will appear in the School booklet which is distributed to all participants and include the summaries of the selected students. A sample description is provided below:
For my Ph.D. thesis I am working on DELPHI, one of the four universal detectors operating at LEP e+e- collider at CERN. I have performed analysis of the data collected by DELPHI at the energies of LEP near the Z-resonance. In this analysis the measurement of the tau-lepton polarisation through its hadronic decay modes has been performed providing a competitive measurement of the weak mixing angle. Now I am working on the analysis of the high energy LEP data, measuring the fermion-pair production cross sections and forward-backward asymmetries. From the hardware side I am engaged with the work of monitoring the performance of the DELPHI Hadron Calorimeter and Surround Muon Chambers. This includes development of the monitoring software and data analysis.

Other comments:

Please answer below why you are applying and add other information that does not fit anywhere else in this form:

Before submitting, please remember that ...


all information typed in.

CEE - DEC.00