APPLICATION FORM International Week Brno, Czech Republic (April 22-26, 2013) Surname ............................................................. First Name ............................................................. Degree ............................................................. Home Institution ............................................................. Country ............................................................. Contact (e-mail) ............................................................. Position academic staff/ teacher non-academic (administrative) staff* Topic of your lecture/presentation: ………………………………………………………………………………………………………………………...………………………………………………………………………………………………………………………. Duration of your lecture/presentation*:  20 minutes  45 minutes  90 minutes Participation in the PhD workshop (April 24, 2013) YES – NO* For participation in the 4^th International PhD student´s conference "New Economic Challenges" please do not forget to register in the conference system https://www.econ.muni.cz/konference/registration/67/ *Mark a proper statement. Contact: Denisa Gritzova, gritzova@econ.muni.cz