EPIcenter Summer School Registration 2018
Non-EIT Health Member
Academic Background/Area of Study:
Work position (if applicable):
CV to upload
Short description (max 500 words):
Why do you want to apply for this course?
Actual project (max 500 words)
Please give a short overview of your daily work.
Proposing challenge (max 500 words – if applicable):
Do you have a problem you want to solve during the EIT Health Summer School EPIcenter?
Please give a name and contact details, of a person who would be willing to write a reference letter. A letter isn’t necessary at this point of time.
I hereby give EIT Health, its assigns, licensees and legal representatives the irrevocable right to use my
name/photograph/image/audio recording/video recording/ and likeness (“My Image”) in all forms and manner including but not limited to publication on Internet Web Sites, broadcasts and any other publications as released to or by EIT Health. I understand that EIT Health cannot control unauthorized use of My Image by persons not associated with EIT Health once My Image has been published. I hereby forever waive any right to inspect or approve any publication of My Image by EIT Health. I have carefully reviewed and understand the above provisions and agree to be bound by them. I voluntarily and irrevocably give my consent and agree to this Release
Do Not Fill This Out