High School Teachers Programme
July 1- 21, 2001
Please fill in this application form, in English.
Applicant Information
Last Name
First Name
Address and phone number
Electronic Mail Address
Sex
male
female
Country where you teach
Austria
Belgium
Bulgary
Czech Rep
Denmark
Finland
France
Germany
Greece
Hungary
Italy
Netherlands
Norway
Poland
Portugal
Slovak Rep
Spain
Sweden
Switzerland
UK
Other
A
Type in here you Curriculum Vitae
B
Why do you think you would benefit from this programme?
C
How do you plan to disseminate outside the classroom the knowledge acquired during this programme?
C
How did you learn about this programme?
If you have problems submitting this form, please send a message to
michelangelo.mangano@cern.ch
.