Scribd Logo
Загрузить

Добро пожаловать в Scribd!

  • Cicops Scholarship 2016 Application Form

    Загружено:

    dialauchenna
    6 просмотров6 страниц
    This document is an application form for the CICOPS Scholarship 2016. It requests personal information such as name, contact details, nationality, languages spoken, date of birth, employment details, research experience and activities, proposed dates and length of stay at the University of Pavia in Italy, contact details for a collaborator at the University, area of proposed joint research, and agreement to the privacy policies. It notes that an invitation letter from a University of Pavia contact is mandatory.

    Исходное описание:

    cicops

    Авторское право

    © © All Rights Reserved

    Доступные форматы

    PDF, TXT или читайте онлайн в Scribd

    Этот документ был вам полезен?

    Это неприемлемый материал?

    Пожаловаться на этот документ
    This document is an application form for the CICOPS Scholarship 2016. It requests personal information such as name, contact details, nationality, languages spoken, date of birth, employment details, research experience and activities, proposed dates and length of stay at the University of Pavia in Italy, contact details for a collaborator at the University, area of proposed joint research, and agreement to the privacy policies. It notes that an invitation letter from a University of Pavia contact is mandatory.

    Авторское право:

    © All Rights Reserved
    Скачайте в формате PDF, TXT или читайте онлайн в Scribd
    Отметить как неприемлемый контент
    6 просмотров6 страниц

    Cicops Scholarship 2016 Application Form

    Загружено:

    dialauchenna
    This document is an application form for the CICOPS Scholarship 2016. It requests personal information such as name, contact details, nationality, languages spoken, date of birth, employment details, research experience and activities, proposed dates and length of stay at the University of Pavia in Italy, contact details for a collaborator at the University, area of proposed joint research, and agreement to the privacy policies. It notes that an invitation letter from a University of Pavia contact is mandatory.

    Авторское право:

    © All Rights Reserved
    Скачайте в формате PDF, TXT или читайте онлайн в Scribd
    Отметить как неприемлемый контент
    из 6

    CICOPSSCHOLARSHIP2016

    APPLICATIONFORM
    DEADLINE:May31st,2015
    *Required

    1.PERSONALINFORMATION
    Surname/FamilyName/LastName*

    FirstName/GivenName*

    Gender*
    Male
    Female

    Nationality*

    Mothertongue*

    Otherlanguages

    Dateofbirth*

    enteras"dd/mm/yyyy"

    Countryofbirth*

    Countryofresidence*

    PermanentResidenceAddress*
    Streetaddress

    City*
    City

    State/Province

    *
    Postal/ZipCode

    *
    Country

    MailingAddress
    Sameasabove
    Addadifferentmailingaddress

    ResidentialMailingAddress
    StreetAddress

    City

    State/Province

    Postal/ZipCode

    Country

    Thelephone(enteras"+##.###.######")*
    Phoneoffice

    Phonehome

    Mobile

    Fax

    Email*
    Thisemailaddesswillbeusedfortheselectionprocedurefollowup.Makesureyoureadyour
    emailonaregularbasis.

    Skype

    2.EMPLOYMENT
    CurrentEmployer/Institution*
    Pleasespecify:nameoftheInstitution,address,cityandtelephonenumber

    CurrentPosition/Title*

    No.ofyearsofteachingexperience
    enteras"##"

    No.ofyearsofexperienceworkinginInternationalOrganizations/
    Institutions

    enteras"##"

    3.RESEARCHACTIVITIES
    MainareasofResearch*

    CurrentResearchActivities*
    Max300words

    PastResearchActivities
    Max300words

    RelevantPublications
    Max400words

    4.PROPOSEDCOLLABORATIONATUNIVERSITY
    OFPAVIA
    ItisMANDATORYtohaveaninvitationletterfromyourcontactProfessoratUniversityof
    Pavia(seeFAQ).

    Contactperson/collaboratoratUniversityofPavia*
    enteras"NameSurname"

    No.ofyearsofcollaboration(ifrelevant)
    enteras"##"

    Departmentinwichresearchwillbecarriedout*
    DepartmentofElectricalComputerandBiomedicalEngineering

    Proposedareaofjointresearchortitleofresearchproject*
    Max200words

    Keywords

    5.PERIODOFSTAYINPAVIA
    Proposednumberofweeks(410)*
    enteras"##"

    Proposeddates(beaspreciseaspossible)*
    enteras"dd/mm/yyyydd/mm/yyyy"

    Otherinformatin/SpecialRequests

    Iamawarethatanyapplicationformwithoutinvitationletterwillbeautomatically

    delated.
    *

    Iherebyensurethetruthfulnessoftheabovedataandauthorizetheuseofmy
    personaldetailsforcirculationwithintheUniversityofPaviaaccordingtotheItalian
    LegislativeDecreen.196/2003.Iunderstandthatfalsedeclarationsarepunishableby
    law,intermsofart.76oftheDPR445/2000.Falsestatementsandinaccuraciesinthe
    declarationmayleadtotheexclusionfromtheselectionprocessand/orfromtheawardof
    thescholarship.

    PersonaldatasubmittedbytheapplicantswillbeusedbytheUniversityforapplication
    andselectionproceduresandinstitutionalaimssolely,inaccordancewiththeItalian
    LegislativeDecreen.196/2003(ItalianPrivacycode).Eachapplicanthastherights
    establishedbyart7ofDecreeLaw196/2003.Thetreatmentofdataisunderthecareof
    theCICOPSPresident.

    Submit

    NeversubmitpasswordsthroughGoogleForms.

    Poweredby

    ThisformwascreatedinsideofUniversitdegliStudidiPavia.
    ReportAbuseTermsofServiceAdditionalTerms

    Вам также может понравиться