The European Law Students` Association (ELSA)

&
International Pharmaceutical Students` Federation (IPSF)
Joint Research Project Application Form
Applicant Information

First Name(s) Surname

Local Group
Home Address

Study Address

Zipcode

City Zipcode

State City

Country State

E-Mail Country

Date of Birth Passport-No.

Nationality (ies)

Gender Female Male

Educational Background
Current Education

Current University

Did you graduate? yes no If no, please indicate current year of study

Total length of study years at your university

Please list any other higher education institute you attended in your CV section.
Language Skills

Please name all the languages you are in command of. Please note that English is mandatory.

Native

Fluent

Good

Basic

Legal Skills (Only relevant for law students)

Please indicate whether you have legal skills in the following areas, ranked as follows:
N = None, G = General, A = Advanced

N G A
Health Law

Human Rights

Administrative Law

Competition Law

Public International Law

Pharmacy Skills (Only relevant for pharmacy students)

Please indicate whether you have skills in the following areas:

Community Pharmacy

Pharmacy Law

Research (in bibliography or in general)

Curriculum Vitae
Please specify your qualifications in a curriculum vitae!
Motivation Letter
Please specify why do you want to be a part of this project (Maximum 800 words)
Declaration

By completing this application form, the applicant accepts the following conditions:

1. I guarantee to have completed this form correctly.

In case that the applicant has, intentionally or with gross negligence given false or inaccurate information ELSA and
IPSF reserve the right to cancel the application.

2. I will provide ELSA and/or IPSF with all necessary documentation to check the validity of the information
provided.

3. I will attend the traineeship provided for, according to the terms and conditions agreed upon..

Both ELSA and IPSF are not responsible for any costs related to the traineeship, neither compensation nor
transportation fees.

Date:

Signature:

The full application form must be submitted electronically to the relevant persons listed below no later than
31st May 2011 at 23:59 CET:

Ms. Melissa Teo, IPSF Chairperson of Student Exchange (sep@ipsf.org)

Ms. A. Elif Yildirim, ELSA Vice President Student Trainee Exchange Programme (vpstep@elsa.org)

Only PDF formats of the application will be accepted.