Application Form

Nuclear Many-Body Approaches for the 21st Century
INT-07-3
September 24 - November 30, 2007



Family name: First name:

Professor Research Associate Graduate student Other

Department:

Institute:

Address:

Office Phone: Home Phone:

Fax: E-mail:

Preferred length of stay:

Please check the box next to the preferred week(s) for your visit
(Dates below are Mondays).

Sept. 24 Oct. 1 Nov. 5
Oct. 8 Nov. 12
Oct. 15 Nov. 19
Oct. 22 Nov. 26
Oct. 29

Topics on which you may wish to give a seminar:

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Program page || INT