EmailMe Form - Application Form

Please, complete this form so that we can contact you via email and process your application. Thank you. (Rogamos, rellene este formulario para que podamos ponernos en contacto con Usted y gestionar su solicitud. Gracias.)

First Name / Nombre *

Last Name / Apellidos *

Email *

Email (confirm)

Gender

Female

Male

Non-binary

Prefer not to disclose

Age Range *

Have you participated in a previous edition of the ISGlobal Summer School/Spring School? *

Yes

No

Have you participated in any other training program at ISGlobal? *

Yes

No

Please, upload your resume *

PDF Documents Only

Please, upload your cover letter *

It should include your motivation to participate in this course and how it is relevant to your academic and professional goals. PDF Documents Only

Nationality *

GENERAL INFORMATION

Please affirm that you have the required English level to follow this course *

Yes, I have an advanced level of English

No, I do not have an advanced level of English

Do you come from and live in a low-and middle-income country (LMIC)? *

Yes

No

See the list according to the World Bank classification

Are you an ISGlobal Alumni LinkedIn Group member? *

Yes

No

If you are a graduate of an ISGlobal education programme, but are not a member of the Alumni LinkedIn Group, you may request access by filling out the Alumni Registration Form

Are you an ISGlobal staff member? *

Yes

No

MODULE SELECTION

You need to choose at least one module among the five offered, up to a maximum of three modules in total (one per time slot). Remember that times are in CEST.

Time slot 1 (9:00-11:00 CEST): *

Indicate the course module that you would like to attend in the 1st Time Slot (if any)

Time slot 2 (11:30-13:30 CEST): *

Indicate the course module that you would like to attend in the 2nd Time Slot (if any)

Time slot 3 (14:30-16:30 CEST): *

Indicate the course module that you would like to attend in the 3rd Time Slot (if any)

PROFESSIONAL/EDUCATIONAL BACKGROUND

Do you have a bachelor’s degree? *

No

Yes

Currently studying

Indicate title of undergraduate degree (bachelor) *

Indicate university that awarded the undergraduate degree (bachelor) *

Provide University name and country (e.g. King's College London, UK)

Indicate year of graduation *

Follow the YYYY format

Indicate title of undergraduate degree (bachelor) that you are studying *

Indicate university that will award the undergraduate degree (bachelor) *

Provide University name and country (e.g. King's College London, UK)

Indicate expected year of graduation *

Follow the YYYY format

Do you have a master's degree? *

No

Yes

Currently studying

In case of having been awarded several Masters, refer to the most relevant one for the module/s you are applying for

Indicate title of master’s degree *

Indicate university/entity that awarded the master’s degree *

Provide University/Entity name and country (e.g. King's College London, UK)

Indicate year of master's graduation *

Follow the YYYY format

Indicate title of master’s degree that you are currently studying *

Indicate university/entity that will award the master’s degree *

Provide University/Entity name and country (e.g. King's College London, UK)

Indicate expected year of master's graduation *

Follow the YYYY format

Do you have a PhD degree? *

No

Yes

Currently enrolled in a PhD

In case of having been awarded several Masters, refer to the most relevant one for the module/s you are applying for

Indicate title of PhD *

Indicate university that awarded the PhD *

Provide University name and country (e.g. King's College London, UK)

Indicate year of PhD graduation *

Follow the YYYY format

What is your current job title?

What is the affiliation/institution of your current job position?

[Subscribe to the ISGlobal newsletters to stay informed]

Your personal data will only be used by the Fundación Privada Instituto de Salud Global Barcelona (ISGlobal); CIF: G65341695; Postal address: Carrer Rosselló, number 132, 7th floor, 08036 Barcelona; Email: lopd@isglobal.org.

We collect and process the personal data you provide in this form for the sole purpose of registering the data of the person attending to the International Summer School on Global Health 2022 in order to be able to communicate information relative to it or make the administrative procedures that may arise.

We can only process your personal data with your consent, and it will be retained only as long as you do not withdraw consent.

You can exercise all your rights under current data protection regulations, including the right to access, correction, objection, erasure, portability and restriction, by writing to the Data Protection Officer (lopd@isglobal.org), attaching a copy of your national identity document or equivalent.

You have the right to withdraw your consent at any time. Withdrawal of consent does not affect the lawfulness of processing based on consent before its withdrawal. If you do not agree with the manner in which ISGlobal handles your data or you consider that your rights have been infringed, you can file a complaint at any time with the Spanish Data Protection Agency (www.aepd.es – C/ Jorge Juan, 6 de Madrid).

Personal Data *

By clicking the SUBMIT/SEND button (below) I acknowledge that I have been appropriately informed and that I consent to the processing of my personal data for the stated purpose.