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You are here: Home » Call for Proposals » Outreach Activities

ESOF2006 Online Proposal Form: Outreach Activity

  • If you are a returning applicant, please click here to view your saved data.
  • If you are a first-time applicant, please fill in the form below. You can save your Information and return to the proposal form later if you wish.
When using the button "Submit" you will have the opportunity to reedit your proposal by scrolling down and using the button "reedit". After pressing the "submit" button a second time your proposal will be submitted to the ESOF2006 Project Team and you will not be able to make any more changes.

Fields marked with a () are mandatory. Click on the "Info"-link or the headlines to view an explanation for each field. You can also download the complete instructions by clicking on Downloads in the left column.
I. Type of proposed activity: |Info
Exhibition|Info
Lecture|Info
Theatre|Info
Film|Info
Interactive Dialogue|Info
Pro and Con Debate|Info
Workshop|Info
Discussion|Info
Seminar|Info
Symposium|Info
Other|Info
   
  Short description of session type:
  
     

   


II. TITLE: |Info
Title of proposed activity (max 10 words):
Synopsis:

   


III. Organiser / Co-Organiser: |Info

Organiser/Contact:
First name:
Surname:
Institution/Organisation:
Address:
Country:
Phone:
E-mail:
Euroscience membership: Yes


Co-organiser(s):
Co-organiser 1: First name:

Surname:

E-mail:

Institution/organisation:
Co-organiser 2: First name:

Surname:

E-mail:

Institution/organisation:

IV. SESSION DETAILS: |Info

 
Target audience: Media
Teachers
Students
General Public
Other
If other, please specify:
Details of interactive exhibits:
Select picture:
Select picture:
 Proposed participant 1: First name:

Surname:

E-mail:

Address:

Phone:

Fax:

Tentative title:

Short description of expected content:


Confirmed.
Asked, but not confirmed.
Not yet asked.
 Proposed participant 2: First name:

Surname:

E-mail:

Address:

Phone:

Fax:

Tentative title:

Short description of expected content:


Confirmed.
Asked, but not confirmed.
Not yet asked.
Proposed participant 3: First name:

Surname:

E-mail:

Address:

Phone:

Fax:

Tentative title:

Short description of expected content:


Confirmed.
Asked, but not confirmed.
Not yet asked.
 Proposed participant 4: First name:

Surname:

E-mail:

Address:

Phone:

Fax:

Tentative title:

Short description of expected content:


Confirmed.
Asked, but not confirmed.
Not yet asked.
 Proposed participant 5: First name:

Surname:

E-mail:

Address:

Phone:

Fax:

Tentative title:

Short description of expected content:


Confirmed.
Asked, but not confirmed.
Not yet asked.
 Proposed participant 6: First name:

Surname:

E-mail:

Address:

Phone:

Fax:

Tentative title:

Short description of expected content:


Confirmed.
Asked, but not confirmed.
Not yet asked.
 Proposed participant 7: First name:

Surname:

E-mail:

Address:

Phone:

Fax:

Tentative title:

Short description of expected content:


Confirmed.
Asked, but not confirmed.
Not yet asked.

   


V. SCHEDULING: |Info

 
Time requested: 1.15 h 2.30 h 1/2 Day Day More than one day
Short explanation:

   


VI. ESTIMATED COSTS: |Info
Costs:
Details about financial coverage:

   


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