Application for Postgraduate Students wishing to attend the
              1995 CERN School of Computing, Arles, France
                     20 August - 02 Septembr 1995

FAMILY NAME: ................................
(in capitals)
FIRST NAME:  ................................
(Underline name to be used for badge)
DATE OF BIRTH: (DD-MM-YY)....................
SEX:    M......    F......
NATIONALITY: ................................

ADDRESS OF HOME INSTITUTE OR DEPARTMENT:
..........................................................
..........................................................
..........................................................
E-MAIL ADDRESS: ..........................................

FIELD OF SPECIALIZATION: (tick only one)
-  High-energy physics .....
-  Computing Science   .....
-  Other (specify)     ............

KNOWLEDGE OF ENGLISH:
-  Reading:     VG....   Good....  Fair....
-  Writing:     VG....   Good....  Fair....
-  Speaking:    VG....   Good....  Fair....

UNIVERSITY EDUCATION:
-  Institute:.............................................
-  Locality: .............................................
-  Attended: From...............  To .....................
-  Qualifications obtained:...............................
   Present stage of studies:..............................

FOR WHAT QUALIFICATION ARE YOU WORKING AT PRESENT?........
..........................................................
WHEN DO YOU EXPECT TO OBTAIN IT?..........................

HAVE YOU EVER WORKED AT CERN?................
- If so, give dates:.........................
- In which Division?.........................

HAVE YOU APPLIED TO ATTEND ANY OF THE PREVIOUS SCHOOLS ORGANISED BY
CERN?
- If so, which?  - Computing.....   Physics.......
- Which year?....................
- Was your application accepted ........ or rejected .......?

HOW DID YOU HEAR ABOUT THE SCHOOL?
First Announcement....   Poster....  E-mail.... WorldWideWeb....
Via a Colleague....      via your Supervisor....

PLEASE STATE WHETHER MAIL DISPATCHED BETWEEN MAY AND AUGUST 1995
SHOULD BE ADDRESSED TO:
- Your home institute as above .................................
- or other ....................................................

Date: .............         Signature: ........................
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Notes:
1. Please complete this application form and prepare a 100-word descrip-
   tion of your current work and indicate the computer(s) and
   programming language(s) with which you are familiar.  Please note
   that we would like this description to be sent by e-mail to the
   following address:  School at cernvm.cern.ch.  Your completed
   application form should be accompanied by a letter of reference
   from your professor or supervisor, who should return them to
   Miss Jacqueline Turner, School of Computing, CERN, CH-1211 Geneva
   23, Switzerland.

2. CLOSING DATE. Applications, together with a letter of reference, must
   reach the above address at the latest by 31 May 1995.
   Applications received after this date will not be considered.