APPLICATION FOR ADMISSION           
to the           
           
ICFA'95 SCHOOL           
INSTRUMENTATION IN  ELEMENTARY PARTICLE PHYSICS           
Ljubljana, Slovenia           
July 3 - 15, 1995           
           
           
PERSONAL DATA (please print)           

NAME:     
LAST:                    FIRST:	                MIDDLE:   
          
    (Mr.     Ms.)
               

PLACE OF BIRTH	    CITY:           COUNTRY:           

DATE OF BIRTH       YEAR:             MONTH:              DAY:   

NATIONALITY:                                                                             
           
           
           
MAILING ADDRESS (please print)                                      




Phone:                                Fax:       
Telex:                                E-mail:                                                     
           
           
           
HAVE YOU ATTENDED ANY OF THE EARLIER ICFA DETECTOR SCHOOLS?     YES     NO           
           
EDUCATIONAL BACKGROUND           
(Starting from the Highest Degree)           
           
UNIVERSITY		YEARS		DEGREE		SUBJECTS           
           
           
           
           
           
           
           
ACADEMIC ACHIEVEMENTS AND DISTINCTIONS           
(Awards, Scholarships, Fellowships, Grants etc.)           
           
           
           
           
           
           
           
PROFESSIONAL BACKGROUND           
(Starting from the Most Recent Position)           
INSTITUTION 		YEARS	POSITION   NATURE OF WORK           
           
           
           
           
           
           
RESEARCH EXPERIENCE           
(Please describe the nature of your research activities briefly)           
           
           
           
           
           
           
           
           
           
           
(PLEASE ATTACH A LIST OF YOUR RECENT PUBLICATIONS)           
           




PERSON BEING REQUESTED TO SEND THE RECOMMENDATION *           

NAME AND ADDRESS                 


                                                               
Phone:                              	Fax:                              
Telex:                              	E-mail:                                                     

* NOTE!
 Please use the attached form for the letter of recommendation.
 The applicant should insure that the letter of recommendation 
 reaches the school secretariat before the deadline. Applications 
 without the corresponding letter of recommendation will not be 
 considered.           
           








FAMILIARITY WITH PARTICLE DETECTORS           
(Please describe your experience briefly)           
           
           
           
           
           
           
FAMILIARITY WITH DATA ACQUISITION SYSTEMS           
(Please describe your experience briefly)           
           
           
           
           
           
           
FAMILIARITY WITH COMPUTERS           
(OPERATING SYSTEMS AND LANGUAGES - Please describe your experience briefly)           
           
           
           
           
           
           
PROFICIENCY IN ENGLISH LANGUAGE           

READING: 	   (Good      Average      Poor)         	

WRITING:           (Good      Average      Poor)           

SPEAKING: 	   (Good      Average      Poor)           
           



INTEREST IN LABORATORY EXPERIMENTS           
(Please check your level of interest in the following laboratory experiments)           
           
           
Multiwire proportional chambers		LOW	AVERAGE	      HIGH           

Silicon detectors and signal 
processing		                LOW     AVERAGE	      HIGH           

Microstrip and microgap chambers	LOW	AVERAGE	      HIGH           

Scintillating fibers			LOW	AVERAGE	      HIGH           

Analog and digital circuits		LOW	AVERAGE	      HIGH           

Data acquisition			LOW	AVERAGE	      HIGH           

X-ray imaging				LOW	AVERAGE	      HIGH           
           
           
           
           
FINANCIAL REQUIREMENTS*           
           
           
SUPPORT REQUIRED FOR TRANSPORTATION (APEX FARE):            US$           

SUPPORT REQUIRED FOR SUBSISTENCE (~ 30 US$/day):            US$           
           

* NOTE!           
(Please note that preference may be given to 
applicants who do not require any financial support.
Financial support would be given only to those applicants 
who plan to attend the School for the full duration).           
           
           
           
           
           
           
           
Place:		           (Signature of the Applicant)           

Date:           
           
           
           
-------------------------------------------------------           
*Please FAX, AIRMAIL or EMAIL (ask for confirmation) this application to:           
 Prof. Peter Krizan, J. Stefan Institute, p.p. 100, 
 Jamova 39, 61111 Ljubljana, Slovenia           
 Phone:  +386-61-12-59-199           
 Fax:      +386-61-12-57-074           
 E-mail:  peter.krizan@ijs.si