“Brains, genes, drugs and languages: crossroads in science”

	20^th CIMO WINTER SCHOOL “Brains, genes, drugs and languages: crossroads in science” 7 - 12 March 2016, Finland Application form	photo

Please type or use block letters

1. Personal information

Family name(s)	First name(s)
Gender female male	Citizenship*
Place of birth	Date of birth**
Marital status

Contact information

Street address
City	Postal code
Country	E-mail
Telephone	Number of foreign passport (if any)

2. University education (see Required annexes 1)

Name and location of institution	Degree(s) (BSc/MSc/PhD)	Date of completion of degree	Or estimated completion year of degree
Major subject (select one)	Minor subjects (select one or two)

3. Present state of studies/research (see Required annexes 2)

Home institution	Home department
Address	E-mail, Telephone, Fax (through which the applicant can be reached during office hours)
Field of studies/research (subject area: e.g. Medicine, Physiology, …)
Tentative title of the Doctoral thesis (or Master’s thesis)
Main research methods
Scientific interests

4. Thesis supervisor (see Required annexes 3)

Name, Academic title	Institution, Department
Institution address	E-mail, Telephone, Fax

5. English language proficiency***

6. International experience

7. Other merits (personal grants, prizes, medals, diplomas etc.)

8. Peer-reviewed publications in English language scientific journals (select up to 5 best papers) (see Required annexes 4)

9. Give the names of the Finnish scientists/research group leaders with whom you have had preliminary contact (please attach a copy/copies of your correspondence) (see Required annexes 5)

10. When would you have the possibility to work/study in Finland and for long?

11. Hobbies

Signature

Place and date

Signature

Required annexes

1. Copies of latest degree certificates and scores certificates (supplements to the diploma) and their translations

2. Description of your current research work (1-2 pages) including introduction, aims of study, experimental design and current status

3. Letters of recommendation from two supervisors

4. Complete list of publications in the peer-reviewed English language scientific journals (if any)

5. Copy/copies of correspondence with Finnish scientists/research group leaders

6. One recent photograph of the applicant

*The applicants must be citizens of Russia or Ukraine.

**The applicants should not be older than 35 years of age.

***A good knowledge of English language is required since only English is used in the

Winter School.

The complete paper versions of the applications should reach CIMO by 19 October 2015

at the following address:

Centre for International Mobility CIMO/

20^th CIMO WINTER SCHOOL

P.O. Box 343 (street address: Hakaniemenranta 6)

00531 Helsinki

Finland

Дата добавления: 2015-11-04