<p> Summer school - A Holistic approach to workplace health promotion & corporate Wellness - Izola (SLO), 10-15 September 2015</p><p>PART I. PERSONAL INFORMATION</p><p>Please fill in all the boxes.</p><p>First Name:</p><p>Family name:</p><p>Date of birth:</p><p>Place of birth1:</p><p>Citizenship:</p><p>Passport or ID number:</p><p>Native Language:</p><p>English level (if it is not your native language):</p><p>Current Personal Address2:</p><p>Mobile Phone Number3:</p><p>Fixed Phone Number:</p><p>Email address4:</p><p>PART II. EDUCATION AND PROFESSIONAL EXPERIENCE</p><p>1 Please insert both the name of city and also the name of the Country of birth. (For instance: Milan, Italy). 2 Please insert your address, ZIP code, City and Country 3 Please insert also the International Country code 4 Please insert the address you usually consult. If you have more than one please insert all of them. 1 Summer school - A Holistic approach to workplace health promotion & corporate Wellness - Izola (SLO), 10-15 September 2015</p><p>Current University5:</p><p>Current position at the university6:</p><p>If you are a postgraduate STUDENT, please insert your exams transcript (with grades)</p><p>Previous Universities attended and final grade of degree</p><p>Current Professional Experience7</p><p>Previous Professional Experience</p><p>Other Relevant Experiences</p><p>PART III. INFORMATION FOR THE SUMMER SCHOOL</p><p>How did you get information about the Summer school? (Please cross the correct information) Email Email sent by your University Conference announcement website Which website?</p><p>5 This can be filled in just by those who are still involved in a university environment. Please write the complete full name of the University you are attending. 6 This can be filled in just by those who are still involved in a university environment. For example: student, researcher, assistant professor, professor … 7 This can be filled in just by those who are working at the moment. 2 Summer school - A Holistic approach to workplace health promotion & corporate Wellness - Izola (SLO), 10-15 September 2015</p><p>Searching on the web Others</p><p>Motivation to attend the Summer school: why are you the right person?</p><p>OTHER DOCUMENT REQUIRED Please attach to this application form your personal curriculum vitae.</p><p>Place and date...... Signature...... </p><p>Please send to: [email protected]</p><p>3</p>