Application Form

17th International Summer School and Symposium on Humour and Laughter
Purdue University, West Lafayette, USA
July 17-22

If you would like to attend the Summer School and Symposium and have had difficulties with the online application form, please print off this form, complete it, and send it to the Local Organiser (see details on the Contact page) by ordinary mail.

Name
Dr/Mr/Ms/etc.
Forename(s)
Surname
 
 

Contact Information

Preferred contact address

This address is:

Home

Work

Other

Telephone

Email
(We shall mainly use email to contact applicants.)

Category
Please select exactly ONE of these options (see the Registration page for details of fees).

Student (please send proof of status by email or by post)

ISHS Member

AATH Member

Former Summer School Participant

Other


Occupation
Please tick - more than one if appropriate
Academic
Health professional
Performer
Student
Other - please specify :

Other Information

Qualifications (post secondary or high school)

 

Relevant experience (in brief)

 

Reason for interest in the Summer School

 

Where did you hear about the Summer School?

 



Further information for the Summer School organisers (optional)
(for example, any dietary requirements)