ECOLE D'ETE DE PHYSIQUE THEORIQUE   
UNIVERSITE JOSEPH FOURIER   
74310 LES HOUCHES - FRANCE
Tel :	+ 33 - 4.50.54.40.69	
Fax :   + 33 - 4.50.55.53.25

Quantum Theory from Small to Large Scales

August 2010

APPLICATION FORM

Family name: 	First name: 	
Citizenship: 	Date of Birth:	Male - Female
Institution and address: 

	
	
Telephone:                                       Fax:  	E-mail: 	
Recommended by: 	and:  	

Have you previously applied to a Les Houches School?	
Which year?                             Were you admitted?	Did you attend?	
List other summer schools attended during the past three years:			

		

Do you need financial help?  	
If so, please give details on a separate sheet.

Housing for spouses of participants is possible in limited amounts; housing for children is not possible
Do you require housing at the school for your spouse?	Indicate period:	

STUDIES
Date of the start of University studies: 	
Date of Master's Thesis:	
Title of Master's Thesis :
		
Date of the start of your PhD :	Date of PhD defence :	
Title of PhD thesis:

Postdoctoral studies:			

Past scientific work (Which problems have you been interested in? What results have you obtained?):
Append a list of publications with titles and references.

	

	

	

Current interests and future plans: 

	

	

	

What benefit do you expect from attending the School? (studies, teaching, research...)

	

	

This application (accompanied if necessary by an explanatory letter concerning financial difficulties) must reach the school by MARCH 1, 2010. The two letters of recommendation should reach the school by the same deadline. 

All documents can be sent either by email to

houches0810@ujf-grenoble.fr

or by surface mail to
ECOLE D'ETE DE PHYSIQUE THEORIQUE  
F - 74310 LES HOUCHES - FRANCE

Answers will be sent by the end of April 2010