10th LAS EU Functions Course                                  Application Form
September 9-20, 2024

Please read carefully the Course information http://hsblas.gr/lasfunctionscourse/ 

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Email *
Title *
First Name (as it appears on your identification documents) *
Last Name (as it appears on your identification documents) *
Date of birth (please insert in format of: day/month/year - DD/MM/YYYY) *
Country of origin *
City & country of residence *
Mobile tel. number *
Academic degrees (please check all that apply) *
Required
Please describe your studies in chronological order using the format: degree, title of degree, university (eg: BSc Chemistry, Univ.London, MSc Biochemistry, Imperial College) *
Involvement in biomedical research (check all that apply) *
Required
Current work status *
Required
Research establishment of current work/study *
Please describe your research interests or research-related work. *
Please check all that apply to your previous experience *
Required
Please state if you are interested in the full Course (Functions ABCD), or only functions ACD or only function B. *
Please describe your reason for applying to attend this course. *
Billing information
Course fee: 600€ for functions ABCD or ACD, 450€ for function B 
Billing information will be forwarded to successful applicants.
Payment of the full amount must be completed by July 30.
Registration is confirmed upon receipt of payment.
Please read cancellation policy at our website.
Receipt details *
HSBLAS is not subject to taxes. Please check with your funding institute (especially for Greek ELKE accounts!) which document they require. Full amount should be delivered to the Course account, otherwise the participant will be charged the difference. The receipt/invoice will be delivered to the participant during the Course.
Receipt details *
Please provide the FULL details for the receipt or invoice, of yourself or the funding company: Person or company name, full address, country, VAT with country code, contact person, participants' name or other etiology. List any additional requirements. Invoicing is performed during the course unless requested otherwise. In case of Greek persons or companies, please provide the information in Greek!
Attendance details
- Full attendance is mandatory, whith open-camera policy for the online parts. 
- Please take care to be on time for both theory and practicals! Times refer to local times (Greece).
- Certificates will be issued upon successful evaluation.
- Certificates will be issued up to approximately 1 month after the Course. Pdf copies will be forwarded to all.
- Attendance of Function B modules requires a BSc degree or equivalent.
- We are unable to support dietary restrictions, however we offer a selection during lunch breaks of the practical training.
- Theory and group work are delivered live online via teleconference while practical training is delivered on-site at LRMS.
- Please note that practical training involves live animal handling. Take precautions and notify the staff if you have any animal allergies! Basic PPE items are provided.

Please let us know if you will be required to travel from another city/country for the practicals. If you need an invite to travel please forward us a copy of your passport. Invite will be sent after confirmation of payment.
Clear selection
There is no guarantee because project groups must be equal in number and diverstity of participants, but we MAY be able to accommodate you on the topic of your preference. Please select one or more. *
Required
GDPR Notice
Please note that by completing this application form you consent to the following use of your personal data:
1. The LAS EU Functions Course organizers archive your personal information along with all relevant Course materials, degrees and exams. This information is necessary in order to produce and track your individually numbered Course certificate.
2. The LAS EU Functions Course organizers maintain a mailing list of past participants and may occasionally forward information about upcoming courses.
3. If you successfully complete the Course and obtain the FELASA accredited certificate your name is listed in the FELASA database linked to the Course details, in order to allow FELASA at any time to confirm your status as a graduate from one of their accredited courses. No other information is listed by FELASA.
Your data will not be distributed or used in any other way.
If you object to the use of your data as described above in any or all options, please contact lasfunctionscourse@gmail.com 
I have read and understood the details for successful attendance and GDPR. *
Please forward your CV to lasfunctionscourse@gmail.com after completing the application form!
A copy of your responses will be emailed to the address you provided.
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