EEPE COURSE

Design and Statistical Analysis
of Genetic Epidemiology Studies

Florence 20 June - 24 June, 2011

Application form

Please type in capital letters.

In order to apply the EEPE "Design and Statistical Analysis of Genetic Epidemilogy Studies" held in Florence from 20 June to 24 June 2011, please mark this case :     Surname : First name : Mailing address : E-mail : Telephone : Nationality : Fax : Sex : Date of birth :     University or Higher Education : Educational institution : Approx. dates : Name of Course : Degree : Present employment : Employer : Address : Position held : Present work outline : Previous epidemiological training and experience : little some substantial extensive Your knowledge of spoken English is : excellent good moderate Have you attended an EEPE summer course ?   If "YES", in which year ? You confirm that you want to apply to the EEPE course "Design and Statistical Analysis of Genetic Epidemiolgy Studies" 2010 ?  YES