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First name
Last name
Email
Affiliation (Name of University/Research Institute)
Scientific discipline
Current status
I am a member of GLOHRA
I would like to participate in the following workshop
I would like to submit my own research for discussion during the workshop
Topic of my research and aspects that I would like to discuss during the workshop
Travel grant application
Estimated travel expenses
Statement of Intent: Why do you want to participate in the training offer? (please write no more than 200 words)
As part of the training offer, we plan to offer free childcare on site, with a professional childcare provider. Costs for childcare will be covered, however, travel and accommodation for children will not be covered. Do you need childcare?
If yes, number of children who would accompany you
Age of child/children
Dietary requirements
Data protection
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