ESA Academy Short Course Scholarship – Short course application form Short Course – Application form Short course informationShort course organisationScholarship requestAcceptance of terms and conditions0% Complete1 of 4 Requester contact information Name * Name First First Last Last Email * Affiliation * Please name the University, Company, Research institute, Institution or other entity you are working for. Role in the organisation of the course * Short course information Name of the course * Organisation(s) in charge of the course * Description of the course * Duration of the course (in days) Is it a multidisciplinary course? No Yes Please explain Thematic(s) of the course * Macro area(s) * Example: engineering, sciences, legal, economics, commerce, social sciences, space, education, etc. Link with space sector * Course website url * Edition of the course * 12345+ Is the course exclusively taught online? * Yes No Location of the course * AustriaBelgiumCanadaCzech RepublicDenmarkEstoniaFinlandFranceGermanyGreeceHungaryIrelandItalyLatviaLithuaniaLuxembourgNetherlandsNorwayPolandPortugalRomaniaSlovakiaSloveniaSpainSwedenSwitzerlandUnited KingdomOther Location of the course City * Where is the course organised from? * AustriaBelgiumCanadaCzech RepublicDenmarkEstoniaFinlandFranceGermanyGreeceHungaryIrelandItalyLatviaLithuaniaLuxembourgNetherlandsNorwayPolandPortugalRomaniaSlovakiaSloveniaSpainSwedenSwitzerlandUnited KingdomOther Where is the course organised from? Start date of course * End date of course If you are human, leave this field blank. Next