Application form


The Quest for Health Equity in the Mediterranean Context: focusing on migrants and on the poor
Winter School in Rome - December 16th-20th, 2019
Application form

* Title:
* First name:
* Family name:
* Address:
* City:
* Postcode:
* Country:
Telephone:
Fax:
* e-mail address:
* Confirm e-mail:
* University degree:
* Specify:
* Working knowledge of English:
The course is held in English. Therefore, applicants with no working knowledge of English are not admitted.
Job title:
Institution/organisation:
* Area of expertise/interest:
Main reason for wishing to attend the Winter School:
How did you find out about the Winter School?
Specify other Website:
* Application option:
*Group name:
Access to the information on the processing of personal data
* I read the information on the processing of personal data Yes * I hereby give my consent to the processing of my personal data in order to receive e-mails and other comunications from INMP regarding courses and events organised by the Institute Yes No
*N.B. Fields marked with are compulsory**

The Quest for Health Equity in the Mediterranean Context: focusing on migrants and on the poor