Lorentz Center Workshop Application: Workshop application form

Lorentz Center Workshop Application

Application steps

Registration

Proposal

Summary

Cancel registration

Registration

Please fill out the form below if you want to apply for a workshop at the Lorentz Center. In case you want to submit a draft proposal for feedback, only your name, e-mail, title and a proposal file (PDF) are required. If you want to save your application to continue working on it at a later time, you can do so at the summary step.

Should you need assistance, please contact us at draft@lorentzcenter.nl or call us at +31 71 527 5542

Personal information

Given name *

Initials

Family name *

Gender

male

female

other

prefer not to share

Email *

Telephone

Website

Expertise

Sector

Career stage

Institute/department

Affiliation

Affiliation Address

Affiliation Zip Code

Affiliation state

Affiliation city

Affiliation Country

Privacy

For more information on how we use the data please see our privacy statement.

Yes, you may use my personal information for this event.

How many co-organizers do you want to register?

If you are submitting a draft, you may ignore this question. Please note that the order of organizers entered here is the one we will use for further communication throughout the workshop.

Items marked with an asterisk (*) are mandatory.

If you are experiencing issues when trying to register please send a mail to draft@lorentzcenter.nl