Irish School of Ecumenics, Trinity College Dublin

STUDENT REGISTRATION FORM, page 1

Erasmus-Socrates - European Intensive Programme Translating God(s): Intercultural Theology and Interreligious Studies June 14 to June 25, 2010 Trinity College Dublin STUDENT REGISTRATION FORM

Personal information (Please type or print clearly in CAPITAL LETTERS) To be filled in and sent before Feb 15, 2010 together with a copy of data page of your PASSPORT to: The Irish School of Ecumenics, c/o Dr. Norbert Hintersteiner, Bea House / Milltown Park, Dublin 6, Ireland First(Given) name: ______Surname: ______

University / Affiliation: ______

Postal address: ______

Postal code: ______City: ______Country: ______

E-mail address: ______

Summary of Payment

Registration Fees Before February 15, 2010 After April 1, 2010

Registration Fee (Western Europe) 100 Euro  120 Euro 

Registration Fee (Eastern Europe) 50 Euro  70 Euro  Form of Payment (choose one):

 Charge a total of €______ My cheque is enclosed for: €______ Visa  MasterCard Card#______Make payable to “The Irish School of Ecumenics.” It can be sent to: _____ Card Expiration Date (mm/yy) ____ /____ The Irish School of Ecumenics Signature (required) c/o Dr. Norbert Hintersteiner ______Bea House / Milltown Park I agree to pay above amount according to card issuers Dublin 6 / Ireland agreement.

Irish School of EcumenicsTel: +353 (0) 1 260 1144 Trinity College DublinFax: +353 (0) 1 260 1158 Bea House, Milltown ParkWebsites: www.tcd.ie/ise/ Dublin 6, Republic of Ireland

Any cancellation or change must be communicated to “local coordinator / professor” and received and confirmed by the Programme Coordinator in official written notice via letter, fax or e-mail before May 1 for 70% refund of total payment. No refund will be granted after this date or for no-show. Should you have any questions, please do not hesitate to contact: Dr Norbert Hintersteiner: [email protected] STUDENT REGISTRATION FORM, page 2

Topic and Title of Essay / Presentation

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Abstract to Content of Essay / Presentation (8 lines)

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……………………………………………………………………………………………………………………………………………………………………………………… Remember: ESSAY MUST BE SUBMITTED BY MAY 1, 2010, by email to [email protected]

Your essay fits best in the following thematic area of IP (select one or two thematic areas to which your presentation is a contribution)

 Naming and Thinking God in Europe Today

 From World Mission to Interreligious Witness

 Dialogue of Religions

 Fluid Religions in New Modernity

Place: Date: Student Signature: