* all fields are required
FULL NAME
CPF
DATE OF BIRTH
AGE
UNIVERSITY AND COURSE (Please inform your current University and Course and/or the University and Course you will be applying for in 2023)
HOME ADDRESS
CITY
STATE
CURRENT ADDRESS
PHONE (DDD-number)
MOBILE (DDD-number)
EMAIL
SKYPE
Do you have any medical condition/disability that may affect your studies/participation in the program? If yes, please specify.
How did you hear about the program?
Do you know any ex-Weizmann Fellow? Name the scholarship recipients you know.
Have you received any kind of mentoring for this selection process? If yes, please specify.
Essay: “My interest in the Institute Weizmann Summer School - Science as a tool for life, Scientific Research, and my future life” 1-Tell about your interest in science and innovation. 2- Describe your participation in scientific projects and events and if you have future plans for this topic. 3- Tell us what you know about the Weizmann Institute of Science and also about the state of Israel. (required – maximum 4000 characters)
