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Application form

ESA Academy Student Sponsorship

Student Information

First name*

Last name*

Email*

Age*

Gender*

Nationality*

Current Level of Study*

Field of study *

University name: *

University Country*

Have you ever been sponsored by ESA or ESA Academy before?*

Yes

No

(ESA internship, ESA Graduate Trainee, ESA Academy training session, ESA Academy hands-on project, ESA Academy Conference Student Sponsorship, ESA Academy Short Course Scholarship, ESA Academy Scholarship)

If you have answered 'yes' to the previous question, which activity/ies did you participate to?

Do you have more than 2 years of professional experience? *

Yes

No

If you have more than 2 years of professional experience, who was your last employer?

Student Contribution

What type of contribution are you presenting at the conference?*

What is the title of your abstract?*

What is your role?*

Will you be presenting your contribution individually?

Yes

No

Student Sponsorship Interest

Please specify your motivation to attend the conference:*

Justification for ESA Academy sponsorship request:*

Do you benefit from an overlapping financial support to attend this conference?*

Yes

No

If you do, please describe the other financial support:

Do you agree with the with ESA Academy's Privacy Policy?*

Yes

No

https://esamultimedia.esa.int/ESAAcademyPrivacyPolicy.pdf

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ESA Academy Student Sponsorship

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