Fiche Auteur - Grenoble Sciences
Transcription
Fiche Auteur - Grenoble Sciences
Fiche Auteur Titre du manuscrit (même provisoire): _________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ Identification de l’auteur: Nom, prénom: _____________________________________________________________________ Adresse professionnelle (adresse, tél, fax, mail): ________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ Adresse personnelle (adresse, tél, mail): _______________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ Fonction de l’auteur et établissement ou organisme employeur: ________________________ __________________________________________________________________________________ Titres, diplômes, distinctions et prix: __________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ Publications de l’auteur dans un domaine connexe à l’ouvrage proposé (références précises SVP): __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ -1- __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ Livres ou autres ouvrages: __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ Situation du projet d’ouvrage dans la démarche de l’auteur (tant en ce qui concerne les collaborations,les coauteurs s’il y a lieu, que le contexte d’élaboration du projet): __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ Fiche auteur à retourner à: GRENOBLE SCIENCES Bâtiment B de Physique 715 rue de la Houille Blanche BP53 – 38041 Grenoble cedex 9 Tel: 33 (0)4 76 51 46 95 Fax: 33 (0)4 76 51 45 79 email: [email protected] -2-