1.

Personal information

Last/Family Name:

First/Given Name:

Birthdate (mm/dd/yyyy):

Gender:

Nationality:

Postal address (number, street):

City:

Zip Code:

Country:

Phone Number:

Fax Number:

E-mail address:

Personal Web Page:

2. Professional Information (give your current position if you have a job at a University or
Observatory)

Position:

Institution (Department, University, Observatory, etc.):

Professional address (number, street, city, zip code, country):

Professional phone number:

Professional fax number:

Professional e-mail address:

Professional web page:

3. Curriculum Vitae

Please send a free format CV

AND also please fill the information below:

Current level: BSc student/ BSc graduate / MSc student / MSc

graduate / PhD student / PhD graduate

Institution (current adscription):

Full address (number, street, city, zip code, country):

Phone number:

Fax Number:

E-mail address:

Personal webpage:

Year and Institution of BSc degree:

Year and Institution of MSc degree:
Year and Institution of PhD degree:

What have most of your grades been up to now at this institution?

1) higher than 80% of maximum
2) between 70 and 80 %
3) between 50 and 70%
4) lower than 50%

What is your experience with Computer and Information

Technology? (Reply “Very often”, “Often”, “Occasionally”,
“Never”)

1) Used a computer or word processor to prepare

reports or papers.

2) Used e-mail to communicate with an instructor or

 other students.

3) Searched the World Wide Web or Internet for

information related to a course.

4) Used a computer to produce visual displays of

information (charts, graphs, spreadsheets, etc.).

5) Used a computer to analyze data (statistics,

forecasting, etc.)

6) Developed a Web page or multimedia presentation

Current scientific work and research interests. Briefly list your research
interests and experience if any:

Have you ever participated in other Summer Schools, including ISYA?

If so, please, give the dates and location:

Name of your supervisor:

Institution of your supervisor (Department, University, observatory,

etc.):

Address of your supervisor (number, street, city, zip code, country):

E-mail address of supervisor:

4. Motivation

Explain your reasons for wishing to attend this ISYA. Explain what
benefits you think you will obtain from it (200 words max):

Explain your two most important academic achievements (200 words

max):
Describe briefly two scientific problems you have encountered or that
you have studied at university, and what was the solution and impact in
resolving them (200 words max):

Briefly describe a scientific achievement you have recently read about

that has an impact on your research or on the research you would like
to start (200 words max):

Describe what topic you have recently studied that has interested you
the most (100 words max):

Describe a topic in astronomy and astrophysics you understand well

(100 words max)

Describe a topic in astronomy and astrophysics that you wish to learn

more about. What is your plan to do it? (100 words max)

Describe a topic in astronomy and astrophysics that you have studied

but that you think you do not understand well. What do you plan to do
to correct it? (100 words max)

5. Travel grant

Please give an estimate of the travel costs for a round trip from your
home city to Tuxtla Gutiérrez, Mexico, at the cheapest fare available for
the time of travel. We expect that you will take public ground
transportation whenever available to reach the capital of your country,
if travel time from your home city to the capital is not too long (>8 hrs).

6. Reference

Please arrange for at least two recommendation letters in English to be

sent to us. The letter should be from a professional scientist or the
Head of your Institution or Department.
Name and address of the two people who will give letters of
recommendation: