APPLICATION FORM TO THE SUMMER STUDENT PROGRAM FERMILAB 2021

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TO BE FILLED AND MAILED IN PDF FORMAT TO fermilab.summerschool@gmail.com BY JUNE 30, 2021 PLEASE ATTACH THE PERSONAL CURRICULUM VITAE IN ENGLISH IN EUROPEAN FORMAT TO THIS APPLICATION FORM PLEASE ATTACH THE BACHELOR DEGREE THESIS IN PDF FORMAT PLEASE ATTACH THE MASTER DEGREE THESIS IN PDF FORMAT (FOR MASTER DEGREE GRADUATES ONLY) IF AVAILABLE, CANDIDATES SHOULD HAVE 1 LETTER OF RECOMMENDATION (IN ENGLISH) MAILED TO fermilab.summerschool@gmail.com, THE LETTER SHOULD BE MAILED DIRECTLY BY THE REFEREE. CANDIDATES WILL BE SELECTED ON A HIGHLY COMPETITIVE BASIS AND ACCEPTED WITHIN THE AVAILABLE BUDGET CONSTRAINTS.
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PERSONAL DETAILS
FIRST NAME:
LAST NAME:
MALE/FEMALE:
DATE OF BIRTH (day/month/year):
PLACE OF BIRTH: NATIONALITY: ADDRESS: E-MAIL ADDRESS: PHONE NUMBER (with international code): MOBILE PHONE NUMBER (with international code): SKYPE-CONTACT: ADDRESS IN PISA AND PHONE NUMEBR (only for University of Pisa students):
ACADEMIC AND EDUCATIONAL BACKGROUND
HIGH SCHOOL DIPLOMA (please specify school and graduation grade): CURRENT OCCUPATION (if a full-time student, please state your academic institution): UNIVERSITY: PLEASE SPECIFY YOUR ACADEMIC STATUS BACHELOR GRADUATE (please specify University and faculty): MASTER DEGREE STUDENT (please specify University and faculty): MASTER GRADUATE (please specify University and faculty):
INFORMATION RELATIVE TO THE BACHELOR DEGREE:

NUMBER OF EXAMS PASSED:

LIST AND DATE OF EXAMS PASSED (please add scores and ECTS or CFU for each exam):

AVERAGE SCORE:

TOPIC OF BACHELOR DEGREE THESIS, TITLE, AND REFEREE:

BACHELOR DEGREE FINAL SCORE:

PLEASE INCLUDE BACHELOR DEGREE THESIS IN PDF FORMAT:

INFORMATION RELATIVE TO THE MASTER DEGREE:

NUMBER OF EXAMS PASSED:

LIST AND DATE OF EXAMS PASSED (please add scores and EXTS or CFU for each exam)

AVERAGE SCORE:

PLEASE LIST THE EXAMS TO COMPLETE THE MASTER DEGREE, WITH AN INDICATION
OF THE EXAMS EXPECTED WITHIN NEXT SUMMER SESSION:



IN CASE THE CANDIDATE HAS ALREADY CHOSEN A TOPIC FOR THE MASTER DEGREE THESIS, 
PLEASE SPECIFY TITLE, TOPIC AND REFEREE:

IN CASE THE CANDIDATES IS A MASTER GRADUATE, PLEASE SPECIFY FINAL GRADUATION SCORE:



LANGUAGE SKILLS:

NATIVE:

ENGLISH:

LISTENING:

READING:

SPEAKING:

COMPUTING SCIENCE (please specify operative systems, programming languages, for example C, C++, Java, or else):

CAD OR TOOLS FOR DESIGN IN MECHANICS, ELECTRONCIS, OR STATISTICAL ANALYSIS OF DATA
(please specify MatLab, OrCAD, Mentor Graphics, SPICE, Cadence, AutoCAD, LabVIEW, Quartus, ISE, VHDL, Verilog,
FPGA and/or DSP proframming, data analysis with ROOT): 

PLEASE SPECIFY IF THE CANDIDATE HAS ALREADY ATTENDED OTHER SUMMER/WINTER SCHOOLS IN THE PAST,
PLEASE PROVIDE THE LIST:

PLEASE SPECIFY IF THE CANDIDATE HAS ALREADY APPLIED TO OTHER SUMMER/WINTER SCHOOLS IN 
THE YEAR 2020, 
PLEASE PROVIDE THE LIST:

CANDIDATES SHOULD HAVE AT LEAST 1 LETTER OF RECOMMENDATION (IN ENGLISH) MAILED TO fermilab.summerschool@gmail.com,
THE LETTER SHOULD BE MAILED DIRECTLY BY THE REFEREE.

PLEASE ATTACH THE PERSONAL CURRICULUM VITAE IN ENGLISH IN EUROPEAN FORMAT TO THIS APPLICATION FORM

PLEASE ATTACH THE BACHELOR DEGREE THESIS IN PDF FORMAT

PLEASE ATTACH THE MASTER DEGREE THESIS IN PDF FORMAT (FOR MASTER DEGREE GRADUATES ONLY)


I hereby give my consensus that my personal data provided with this application are used for all the procedures 
involved and required by this selection.




Date


Signature (hand-signed)