Pre-application

You fill in this form.

Review within 72 h

The mentor reviews your profile and the Administration replies by e-mail.

Week and agreement

If accepted, you choose one of the open weeks and sign the online agreement.

Fee and place secured

The registration fee (USD 200, charged in Brazilian reais at the day’s exchange rate) secures your place.

Pre-application received!

Thank you. Prof. Wallace will review your profile and the Administration will reply to the e-mail you provided within 72 hours (please also check your spam folder). If accepted, you will receive the open weeks to choose from.

Could not submit right now.

Please check your connection and try again. If the problem persists, write to contato@institutowallace.com.br.

Do not fill in:

1 About you

Full name *

E-mail *

WhatsApp / phone (with country code) *

Country *

City / state or province *

2 Programme

Fellowship *

Preferred period

Can you be in Florianópolis, Brazil, for the full 5 days (Monday to Friday, 8:30 a.m.–5 p.m.)? *

Yes Not sure yet / no

Understanding of spoken Portuguese (activities are conducted in Portuguese) *

3 Education

Profession *

Year of graduation *

University / institution *

Professional licence (body and number) *

Postgraduate studies, courses and relevant qualifications

Link to your CV (LinkedIn or similar)

4 Professional practice

Current field of practice *

Years in practice *

Experience in the chosen fellowship field *

None Basic (courses, reading) I already work in this field

Do you already use any equipment or method in this field? (optional)

5 Motivation

What do you intend to do with the fellowship over the next 12 months? *

How did you hear about Instituto Wallace?

I declare that the information above is true. I authorise Instituto Wallace to use this data solely to review my pre-application and contact me (Brazilian Law No. 13,709/2018 — LGPD).

Submitting a pre-application involves no charge. The registration fee is only charged after acceptance and signature of the agreement.