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Application form:
Art, Science and Health Pilot Course
free online pilot course with certificate
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Email
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Your email
Name and Surname
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Your answer
Date of birth (day / month / year)
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Your answer
Country of residence:
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Your answer
Academic or professional affiliation, if any:
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Your answer
Zoom email (if different from above):
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Your answer
Short biography (max 200 words):
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Your answer
Interest in the topic of the course (max 200 words):
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Your answer
Expected outcomes, if any, for example related with your educational background, experience level or familiarity with specific concepts (max 200 words):
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Your answer
Are you available during the entire pilot course?
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