CANDIDATE

If a team of creators
is presenting this application,
only one person may be the
candidate.

However, please
attach resumes
for all the members
of the team.


• Read the rules before applying

• Use the application Guidelines

	All fields are mandatory, please enter n/a if not applicable.
	Last name
	First name
	Year of birth	Place of birth
	Gender	M     F
	Personal address
	State	Select a state Alabama Alaska Arizona Arkansas Californie Californie du Nord Californie du Sud Colorado Connecticut Dakota du Nord Dakota du Sud Delaware District of Columbia Floride Georgie Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiane Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New York Nouveau Mexique Ohio Oklahoma Oregon Pennsylvanie Rhode Island Tennessee Texas Utah Vermont Virginie Virginie Occidentale Washington Wisconsin Wyoming -------------------------------- Canada
	Zip code
	City
	Phone	(example : 16172922303)
	Cell phone	(example : 16172922303)
	Fax	(example : 16172922303)
	Email
	Professional situation	employed self-employed unemployed student
		other (please specify)
	Are you a	professor / researcher post-doctorate
		other (please specify)
	Current employer
	Employer' website
	Level of education	Ph.D. MBA MA / MS BA / BS AA / AS
		other (please specify)
	Detailed resume
	Is it a team project ?	yes no
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